Organization
DO LIFE WITH JACKIE, LTD. CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE JUDIE MS, RD, LD (DIETITIAN/OWNER)
(817) 681-9130
Entity
Organization
Contact information
Practice address
3700 9TH AVE N, TEXAS CITY, TX 77590-6549
(817) 681-9130
Mailing address
601 TREMONT ST # 8051, GALVESTON, TX 77550-1986
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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