Individual
JACLYN GLIEDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
930 ROBERTSON ST, WAUWATOSA, WI 53213-3026
(417) 489-1771
Mailing address
930 ROBERTSON ST, WAUWATOSA, WI 53213-3026
(417) 489-1771
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3177-29
WI
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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