Doctor Name: | MS. ANNE G JACQUE |
NPI Number: | 1013938471 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | 125 |
Business Practice Address: | 354 Birnie Ave Springfield, MA - 011071108 |
Business Phone Number: | 4137333470 |
Business Fax Number: | 4137334298 |
Mailing Address: | 354 Birnie Ave, SPRINGFIELD |
State: | MA |
Postal Code: | 011071108 |
Phone Number: | 4137333470 |
Fax Number: | 4137334298 |
NPI Enumeration Date: | 07/21/2006 |
NPI Last Update Date: | 05/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 125 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |