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Individual

JELITA MACANAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
659 S CENTRAL VALLEY HWY, SHAFTER, CA 93263-2790
(661) 459-1900
Mailing address
11606 REAGAN RD, BAKERSFIELD, CA 93312-8253
(661) 587-8106

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
835243
CA

Other

Enumeration date
07/13/2006
Last updated
07/08/2007
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