Individual
JACQLYN MARIE GLUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
18562 MINOBIMAADIZI LOOP, ONAMIA, MN 56359-3001
(320) 290-9526
Mailing address
18562 MINOBIMAADIZI LOOP, ONAMIA, MN 56359-3001
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4478
MN
Other
Enumeration date
01/15/2021
Last updated
05/19/2022
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