Individual
JACQUELINE JUDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
3700 9TH AVE N APT 612, TEXAS CITY, TX 77590-6559
(817) 681-9130
Mailing address
601 TREMONT ST, # 8051, GALVESTON, TX 77550-5490
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT86329
TX
Other
Enumeration date
09/05/2020
Last updated
09/05/2020
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