Individual
JETTA YAEL BLEICHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
153 KEATS AVE, ELIZABETH, NJ 07208-1051
(347) 251-8264
Mailing address
153 KEATS AVE, ELIZABETH, NJ 07208-1051
(347) 251-8264
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1018753
—
Other
Enumeration date
05/31/2021
Last updated
05/31/2021
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