MS. Jacqueline Mary Maillet, RD
NPI #1104802537 in Great Falls, Montana
Provider Information
- NPI Number
- 1104802537
- Entity Type
- Individual
- Name
- MS. Jacqueline Mary Maillet, RD
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dietitian, Registered
- Credential
- RD
- Enumeration Date
- Dec 18, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 468 74TH ST N
- Address 2
- MALMSTROM AFB, HEALTH AND WELLNESS CENTER
- City
- Great Falls
- State
- Montana
- ZIP Code
- 59402-6780
- Phone
- (406) 731-2404
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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