Individual
MISS JACQUELINE NANCY MACLASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2215 BURDETT AVE, TROY, NY 12180-2466
(518) 271-3905
Mailing address
2215 BURDETT AVE, TROY, NY 12180-2466
(518) 271-3905
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/24/2011
Last updated
08/24/2011
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