Individual
JACLYN VINGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RD, CDN, IBCLC
Contact information
Practice address
3154 29TH ST APT 1R, ASTORIA, NY 11106-3342
(631) 561-8944
Mailing address
3154 29TH ST APT 1R, ASTORIA, NY 11106-3342
(631) 561-8944
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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