Individual
JACQUELINE STONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CEDRD, LD/N
Contact information
Practice address
1895 NE 197TH TER, MIAMI, FL 33179
(786) 797-7255
Mailing address
1895 NE 197TH TER, MIAMI, FL 33179-3116
(786) 797-7255
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86048647
FL
Other
Enumeration date
09/23/2017
Last updated
07/21/2022
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