Individual
JACQUELINE LABATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CNSC, LDN
Contact information
Practice address
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6202
(610) 402-8313
Mailing address
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6202
(610) 402-8313
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004673
PA
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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