Organization
JACLYN VENTRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN VENTRE (RD)
(646) 662-1087
Entity
Organization
Contact information
Practice address
28 RIVERSIDE AVE, RED BANK, NJ 07701-1067
(646) 662-1087
Mailing address
28 RIVERSIDE AVE, RED BANK, NJ 07701-1067
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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