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Individual

JAMIE YACOUB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.P.H., R.D.

Contact information

Practice address
10000 LAKEWOOD BLVD, DOWNEY, CA 90240-4020
(562) 862-3684
(562) 862-7145
Mailing address
10000 LAKEWOOD BLVD, DOWNEY, CA 90240-4020
(562) 862-3684
(562) 862-7145

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1022607
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1022607
REGISTERED DIETITIAN
CA
Enumeration date
04/19/2012
Last updated
04/19/2012
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