Individual
JACQUELINE VANESSA ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1809 NATIONAL AVE, SAN DIEGO, CA 92113-2113
(619) 515-2300
Mailing address
2475 PASEO DE LAS AMERICAS # 1174, SAN DIEGO, CA 92154-7255
(619) 867-2582
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86359605
CA
Other
Enumeration date
02/08/2024
Last updated
08/07/2024
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