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Individual
MARYANN TOMOVICH JACOBSEN
Active
Individual
MARYANN TOMOVICH JACOBSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
831707
CA
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
831707
CA
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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