Whalio Doctors

NPI 1366813685

Jacob Magnan, RD

Practitioner Registered Dietitian Colchester, VT

Practice location

Address
762 Bean Rd Apartment 2, Colchester, VT 05446-6830
Phone
(484) 241-1189

Registered specialties

Registered Dietitian Primary
Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 074.0115928 (VT)

Registry record

NPI
1366813685
Entity type
Individual
Sex (as registered)
Male
NPI issued
13 Oct 2015
Record last updated
13 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.