Individual
MARY JACKELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2025 MORSE AVE, DIABETES CARE MGMT, ENDOCRINOLOGY, SACRAMENTO, CA 95825-2115
(916) 973-5440
Mailing address
2025 MORSE AVE, DIABETES CARE MGMT, ENDOCRINOLOGY, SACRAMENTO, CA 95825-2115
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
811279
CA
Other
Enumeration date
12/07/2006
Last updated
07/08/2007
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