NPI 1457051898

Leslie Jackson-Vallade, LDN

Practitioner Nutritionist Upper Marlboro, MD

Practice location

Address: 3851 Pentland Hills Dr, Upper Marlboro, MD 20774-9242
Phone: (443) 519-9388

Registered specialties (2)

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence DX5990 (MD)

Other Nutritionist providers in Maryland →

Health & Wellness Coach

Other Service Providers Taxonomy 171400000X

Other Health & Wellness Coach providers in Maryland →

Registry record

NPI: 1457051898
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Mar 2023
Record last updated: 20 May 2024

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.