Individual
JACQUELYN ROSE TRUAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
1441 FLORIDA AVE, MODESTO, CA 95350-4404
(209) 573-6179
Mailing address
7103 HATCHERS CT, STOCKTON, CA 95219-3131
(209) 986-9265
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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