Individual
JACLYN ELISE WAHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
20930 DUPONT BLVD UNIT 202, GEORGETOWN, DE 19947-1724
(302) 202-3438
Mailing address
20930 DUPONT BLVD UNIT 202, GEORGETOWN, DE 19947-1724
(302) 202-3438
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN-0011154
DE
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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