Individual
JACKIE DEE HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
9004 N 82ND ST, SCOTTSDALE, AZ 85258-1729
(480) 361-7322
Mailing address
9004 N 82ND ST, SCOTTSDALE, AZ 85258-1729
(480) 361-7322
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
894530
ADA MEMBER ID
—
Enumeration date
03/17/2008
Last updated
03/17/2008
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