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1013758374
SHANTA DAYJAH JACKSON
MECHANICSVILLE, VA
NPI
1013758374
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: VA 86289730)
Enumeration Date
2024-06-03
Last Update Date
2024-08-15
Business Address
SHANTA DAYJAH JACKSON RDN
8266 ATLEE RD STE 215
MECHANICSVILLE, VA 23116-1805
Phone number: 804-248-3878
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Mailing Address
SHANTA DAYJAH JACKSON RDN
8266 ATLEE RD STE 215
MECHANICSVILLE, VA 23116-1805
Phone number:
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