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Individual

JACQUELINE RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS RD

Contact information

Practice address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
(304) 263-0811
Mailing address
206 CROSS KEYS PL, STEPHENS CITY, VA 22655-3736
(571) 332-9600

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
928231
VA

Other

Enumeration date
01/15/2015
Last updated
01/15/2015
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