Individual
ASHLEY JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
12400 US 2, WEST GLACIER, MT 59936
(520) 286-5468
Mailing address
10600 CHEVROLET WAY STE 229, ESTERO, FL 33928-4424
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86096619
AZ
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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