Individual
MRS. JACLYNN COLLETTE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD LD CDE
Contact information
Practice address
306 W 3RD ST, BIG SPRING, TX 79720-2429
(432) 517-4443
Mailing address
PO BOX 2818, BIG SPRING, TX 79721-2818
(432) 517-4443
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT07258
TX
Other
Enumeration date
11/18/2008
Last updated
03/21/2024
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