Individual
JACQUELYN MARIE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
7300 S RAEFORD RD, FAYETTEVILLE, NC 28304-6162
(910) 475-6678
Mailing address
6754 PLATO RD, EAST OTTO, NY 14729-9740
(713) 498-2634
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/19/2019
Last updated
09/17/2020
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