Individual
JENNA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
11165 SEPULVEDA BLVD, MISSION HILLS, CA 91345-1113
(866) 837-5779
Mailing address
4322 MATILIJA AVE, APT 2, SHERMAN OAKS, CA 91423-3624
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1071091
CA
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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