MRS. Jacqueline Marie Humpherys, RD

NPI #1447400437 in Pinetop, Arizona

Provider Information

NPI Number: 1447400437
Entity Type: Individual
Name: MRS. Jacqueline Marie Humpherys, RD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: RD
Enumeration Date: Sep 25, 2008
Last Updated: Sep 25, 2008

Practice Location

Address: 5183 SADDLE STRAP WAY
City: Pinetop
State: Arizona
ZIP Code: 85935-7535
Phone: (928) 369-1111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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