Individual
KELSEY LYNN BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1401 21ST ST STE R, SACRAMENTO, CA 95811-5226
(909) 815-5109
Mailing address
1401 21ST ST STE R, SACRAMENTO, CA 95811-5226
(909) 815-5109
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86041467
CA
Other
Enumeration date
05/01/2018
Last updated
09/08/2025
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