Individual
JACLYNN J PARHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN, CNSC
Contact information
Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 782-5283
(717) 782-5192
Mailing address
409 S 2ND ST, SUITE #2F, HARRISBURG, PA 17104-1612
(717) 782-5283
(717) 782-5192
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN005848
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103229258
—
PA
Enumeration date
09/30/2016
Last updated
07/01/2019
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