Individual
MRS. AMY JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1981 CAPITAL CIR NE, TALLAHASSEE, FL 32308-4421
(850) 431-4770
Mailing address
1981 CAPITAL CIR NE, TALLAHASSEE, FL 32308-4421
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND3077
FL
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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