Individual
JACQUELYN MULLALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
1612 ASHEVILLE HWY, HENDERSONVILLE, NC 28791-3473
(828) 333-0096
Mailing address
1612 ASHEVILLE HWY, HENDERSONVILLE, NC 28791-3473
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006651
NC
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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