Individual
MRS. JACQUELINE DEVNO GRENNELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
64R GUNNERS EXCHANGE RD, PLYMOUTH, MA 02360-3124
(508) 746-9030
(508) 746-9030
Mailing address
64R GUNNERS EXCHANGE RD, PLYMOUTH, MA 02360-3124
(508) 746-9030
(508) 746-9030
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
395
MA
Other
Enumeration date
05/21/2006
Last updated
07/08/2007
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