LISA WILHELM JACKSON

BALTIMORE, MD
NPI1992950737
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: MD  DX3435)
Additional Taxonomies133V00000X Dietitian, Registered
(Licence: IL  164004668)
Enumeration Date2008-11-20
Last Update Date2014-09-15
Business Address
-- LISA WILHELM JACKSON MS, RD, LDN, CNSC
1800 ORLEANS ST BLOOMBERG 9306
BALTIMORE, MD 21287-0010
Phone number: 410-614-4486
Mailing Address
-- LISA WILHELM JACKSON MS, RD, LDN, CNSC
1800 ORLEANS ST BLOOMBERG 9306
BALTIMORE, MD 21287-0010
Phone number: 410-614-4486