Individual
JACLYN MARIE MIDLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
12665 CAMINO MIRA DEL MAR UNIT 214, SAN DIEGO, CA 92130-2570
(760) 803-9279
Mailing address
12665 CAMINO MIRA DEL MAR UNIT 214, SAN DIEGO, CA 92130-2570
(760) 803-9279
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86103325
CA
Other
Enumeration date
09/16/2021
Last updated
04/02/2026
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