Individual
BROOKE L JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4735 OGLETOWN STANTON ROAD, SUITE 3201, NEWARK, DE 19713
(302) 623-4323
(302) 623-4315
Mailing address
P.O. BOX 30170, WILMINGTON, DE 19805-7170
(302) 623-7113
(302) 623-7374
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN-0000379
DE
Other
Enumeration date
03/05/2012
Last updated
11/03/2016
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