JACKLYN WANG

PROVO, UT
NPI1720884380
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: UT  14196615-4901)
Enumeration Date2025-02-24
Last Update Date2025-02-24
Business Address
JACKLYN WANG RDN
1963 N CANYON RD APT 107
PROVO, UT 84604-1638
Phone number: 385-283-1234
Mailing Address
JACKLYN WANG RDN
1963 N CANYON RD APT 107
PROVO, UT 84604-1638
Phone number: 385-283-1234
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