Individual
JACLYN M MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
318 MAIN ST APT 4, PENNSBURG, PA 18073-1326
(484) 995-3989
Mailing address
2488 KNIGHT RD, PENNSBURG, PA 18073-1974
(484) 995-3989
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
PA
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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