Individual
JACQUELINE GRAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8160
Mailing address
590 MEDICAL CENTER ROAD, FORT CAVAZOS, TX 76544
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
074.0114878
VT
Other
Enumeration date
11/10/2016
Last updated
07/15/2024
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