Individual
JACQUELINE CHEEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CNSC
Contact information
Practice address
12401 E 17TH AVE, AURORA, CO 80045-2548
(386) 341-4410
Mailing address
12389 W ATLANTIC AVE, LAKEWOOD, CO 80228-4478
(386) 341-4410
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 4905
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AF097Z
MEDICARE
FL
Enumeration date
03/29/2007
Last updated
12/05/2019
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