Individual
MRS. DANA ANN JACKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
9 BROOKVALE RD, KINNELON, NJ 07405-2275
(973) 838-8128
Mailing address
9 BROOKVALE RD, KINNELON, NJ 07405-2275
(973) 838-8128
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
803411
NJ
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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