Individual
JACQUELINE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
419 E 87TH ST APT 2D, NEW YORK, NY 10128-6528
(585) 500-9586
Mailing address
419 E 87TH ST APT 2D, NEW YORK, NY 10128-6528
(585) 500-9586
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/05/2024
Last updated
10/05/2024
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