Individual
JACQUELINE AVANTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
38 PORTSMOUTH AVE, EXETER, NH 03833-2106
(603) 580-4476
Mailing address
23 TAYLOR ST, HAMPTON, NH 03842-1417
(201) 970-1843
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1008
NH
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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