Jacinda B. Roach RD

NPI 1316139181 - Nutritionist - 133NN1002X

NPI Details
NPI 1316139181
Gender Female
Enumeration Date 08/15/2007
Last Updated 03/03/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
1860 CHADWICK DR
SUITE 150
JACKSON MS, 39204-3463, US
Phone (601) 376-1681
Fax (601) 376-2491
Business Location
1860 CHADWICK DR
SUITE 150
JACKSON MS, 39204-3463, US
Phone (601) 376-1681
Fax (601) 376-2491
Toxanomy
Taxonomy Code 133NN1002X
License State Mississippi
License Number D1074
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According to our database, Ms. Jacinda B. Roach RD NPI is 1316139181, taxonomy code is 133NN1002X and license number is D1074, license state is located at Mississippi. Jacinda B. Roach RD physically located at 1860 Chadwick Dr, Jackson MS, 39204-3463. NPI Number Jacinda B. Roach RD has the Individual type.

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1316139181 NPI number is provided on an as is basis without warranty of any kind. 1316139181 is maintained by the National Plan & Provider Enumeration System. The contents of Jacinda B. Roach RD are for informational purposes only.