JACQLYN RAIVO

MERIDIAN, ID
NPI1740746403
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: ID  D1101)
Enumeration Date2019-02-18
Last Update Date2019-02-18
Business Address
JACQLYN RAIVO RDN
1859 S TOPAZ WAY STE 100
MERIDIAN, ID 83642-4401
Phone number: 208-209-2432
Mailing Address
JACQLYN RAIVO RDN
175 E HAWTHORN PKWY STE 235
VERNON HILLS, IL 60061-1454
Phone number: 847-737-8768
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