Individual
JENNIFER CECILIA O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1350 RECHE CANYON RD, COLTON, CA 92324-9528
(909) 645-3840
Mailing address
1680 VIA PACIFICA APT D203, CORONA, CA 92882-4417
(909) 645-3840
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86172220
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86172220
COMMISSION ON DIETETIC REGISTRATION
CA
Enumeration date
12/15/2022
Last updated
12/15/2022
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