Individual
JACKLIN Y PASCHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
609 E 29TH ST, INDIANAPOLIS, IN 46205-4160
(317) 221-2222
Mailing address
2915 SCHOFIELD AVE, INDIANAPOLIS, IN 46218-2623
(463) 276-3146
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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