Individual
JILLIAN ELISE NYBAKKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
11801 PIERCE ST STE 200, RIVERSIDE, CA 92505-4400
(951) 750-0085
Mailing address
11021 MEYERS DR, RANCHO CUCAMONGA, CA 91730-6892
(818) 464-8223
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86094662
CA
Other
Enumeration date
04/29/2020
Last updated
09/12/2024
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