Individual
JACOB MAGNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
762 BEAN RD, APARTMENT 2, COLCHESTER, VT 05446-6830
(484) 241-1189
Mailing address
762 BEAN RD, APARTMENT 2, COLCHESTER, VT 05446-6830
(484) 241-1189
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
074.0115928
VT
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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