Organization
LESASH NUTRITION & HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNILYN JACKMAN BAPTISTE RD, CDN (OWNER)
(347) 242-9804
Entity
Organization
Contact information
Practice address
256 SKYLINE DR, STATEN ISLAND, NY 10304-4770
(347) 242-9804
(718) 981-4580
Mailing address
PO BOX 320648, BROOKLYN, NY 11232-0648
(347) 242-9804
(718) 981-4580
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
003629-1
NY
133NN1002X
Nutrition Education Nutritionist
Primary
003629-1
NY
133V00000X
Registered Dietitian
003629-1
NY
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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