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JACQLYN RAIVO, RDN
RDN
Registered Dietitian
NPI: 1740746403IndividualAccepts Medicare
Specialties, Licenses & Credentials
Registered DietitianPrimary
Dietitian, Registered
Code: 133V00000X
D1101(ID)
CMS Specialties
PrimaryREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Education
OTHER
Class of 2018
Contact & Hours
- Address
- 1859 S TOPAZ WAY STE 100
MERIDIAN, ID 83642 - Phone
- (208) 209-2432
Quick Facts
- NPI
- 1740746403
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 8
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