MS. Jacqueline Wilcox, RD, LDN

NPI #1316368723 in Decatur, Illinois

Provider Information

NPI Number
1316368723
Entity Type
Individual
Name
MS. Jacqueline Wilcox, RD, LDN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Credential
RD, LDN
Enumeration Date
Jan 2, 2014
Last Updated
Jan 2, 2014

Practice Location

Address
1800 E LAKE SHORE DR
ZIP Code
62521-3810
Phone
(217) 464-2966

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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