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Individual

MS. JAIMIE LILLIAN LAFFERTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RDN, CLC

Contact information

Practice address
1033 LINCOLN AVE, SPRINGFIELD, PA 19064-3922
(610) 543-7322
Mailing address
2223 NAAMANS RD, WILMINGTON, DE 19810-1328
(610) 529-6886

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0010806
DE
133V00000X
Registered Dietitian
009173
NY

Other

Enumeration date
10/03/2020
Last updated
10/03/2020
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