Angella Jackson, RD

NPI #1881190122 in Monroe, New York

Provider Information

NPI Number: 1881190122
Entity Type: Individual
Name: Angella Jackson, RD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: RD
Enumeration Date: Apr 4, 2018
Last Updated: Apr 4, 2018

Practice Location

Address: 85 SUMMIT ST
City: Monroe
State: New York
ZIP Code: 10950-2503
Phone: (914) 563-4785

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X
Dietitian, Registered	133V00000X	Primary

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Organizations

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