Individual
JESSICA MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
10608 INDIGO BLOSSOM LN, SAN DIEGO, CA 92121-4218
(858) 334-3684
Mailing address
10608 INDIGO BLOSSOM LN, SAN DIEGO, CA 92121-4218
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86378658
CA
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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