Individual
MS. JACQUELINE ANNE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
85 NEILSON ST, SUITE 201, WATSONVILLE, CA 95076-2485
(831) 763-6445
(831) 724-0877
Mailing address
3010 CONCORD CT, MARINA, CA 93933-4003
(831) 277-6283
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
883567
CA
Other
Enumeration date
01/05/2007
Last updated
07/17/2012
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