Individual
JACLYN LEE FARNIOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
2626 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308-4402
(850) 325-4036
Mailing address
2626 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308-4402
(850) 325-4036
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
12/12/2023
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