Individual
MR. JORGE A YAGUAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
2411 7TH AVE, SUITE 4S, NEW YORK, NY 10030-1854
(917) 803-0128
Mailing address
2411 7TH AVE, SUITE 4S, NEW YORK, NY 10030-1854
(917) 803-0128
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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