Individual
JACQUELINE DAHLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D.
Contact information
Practice address
4230 E NATIONAL RD, SPRINGFIELD, OH 45505-1714
(937) 323-8000
(937) 323-6960
Mailing address
4230 E NATIONAL RD, SPRINGFIELD, OH 45505-1714
(937) 323-8000
(937) 323-6960
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD5723
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85002358
AMERICAN DIETETIC ASSOCIATION
OH
Enumeration date
08/19/2008
Last updated
08/19/2008
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