Individual
KIRSTIN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, RD
Contact information
Practice address
809 LAUREL ST UNIT 172, SAN CARLOS, CA 94070-7709
(650) 569-0045
Mailing address
PO BOX 172, SAN CARLOS, CA 94070-0172
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
CA
Other
Enumeration date
03/03/2026
Last updated
03/13/2026
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