Individual
JACQUELYN SUSAN WALTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 FRESNO ST, BARNEGAT, NJ 08005-2509
(540) 878-6895
Mailing address
1 FRESNO ST, BARNEGAT, NJ 08005-2509
(540) 878-6895
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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