Individual
MRS. MALLORY JEAN JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4681 STEPHANIE ST, AUBURN, MI 48611-9219
(989) 450-9118
Mailing address
4681 STEPHANIE ST, AUBURN, MI 48611-9219
(989) 450-9118
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/29/2013
Last updated
03/29/2013
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