Individual
MRS. JACINTA C LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
441 N LAKEVIEW AVE, ANAHEIM, CA 92807-3028
(714) 279-4375
Mailing address
6651 E SMOKEWOOD CIR, ANAHEIM, CA 92807-5039
(714) 470-9732
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
707207
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
707207
REGISTERED DIETITIAN
CA
Enumeration date
04/16/2007
Last updated
07/08/2007
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