Individual
JACLYN MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
270 INTERNATIONAL CIR, SAN JOSE, CA 95119-1130
(408) 972-6530
Mailing address
270 INTERNATIONAL CIR, SAN JOSE, CA 95119-1130
(408) 972-6530
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
974460
CA
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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