Individual
JACEY LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
298 BUCKHEAD AVE NE, ATLANTA, GA 30305-2672
(561) 715-2091
Mailing address
298 BUCKHEAD AVE NE, ATLANTA, GA 30305-2672
(561) 715-2091
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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