Individual
JACQUELINE SHOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1100 E WENDOVER AVE, GREENSBORO, NC 27405-6713
(336) 641-4084
Mailing address
3029 BECKERDITE RD, SOPHIA, NC 27350-8515
(336) 953-9984
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86092465
NC
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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