| Doctor Name: | JACLYN MARIE COSTANTINO |
| NPI Number: | 1477983526 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.D. |
| License Number: | DN-0000505 |
| Business Practice Address: | 1600 Rockland Rd Wilmington, DE - 198033607 |
| Business Phone Number: | 3026514747 |
| Business Fax Number: | 3026515838 |
| Mailing Address: | Po Box 191, Provider Enrollment Dept ROCKLAND |
| State: | DE |
| Postal Code: | 197320191 |
| Phone Number: | 3026516212 |
| Fax Number: | 3026514945 |
| NPI Enumeration Date: | 11/26/2013 |
| NPI Last Update Date: | 12/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | DN-0000505 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DE |
| 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 |