Individual
JACLYN NICOLE ESBENSHADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
529 WHEELMEN ST, MIDDLETOWN, DE 19709-0027
(610) 603-6079
Mailing address
529 WHEELMEN ST, MIDDLETOWN, DE 19709-0027
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN0000481
DE
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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