MRS. Mallory Jean Jacobs, RD

NPI #1851634679 in Auburn, Michigan

Provider Information

NPI Number: 1851634679
Entity Type: Individual
Name: MRS. Mallory Jean Jacobs, RD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: RD
Enumeration Date: Mar 29, 2013
Last Updated: Mar 29, 2013

Practice Location

Address: 4681 STEPHANIE ST
City: Auburn
State: Michigan
ZIP Code: 48611-9219
Phone: (989) 450-9118

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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