Individual
JACQUELYN HACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2450 COLORADO AVE STE 100E, SANTA MONICA, CA 90404-5535
(626) 353-7606
Mailing address
2450 COLORADO AVE STE 100E, SANTA MONICA, CA 90404-5535
(626) 353-7606
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
86100274
CA
Other
Enumeration date
03/17/2022
Last updated
08/22/2024
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