Individual
MS. JESSICA L CUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3184 CHURN CREEK RD, REDDING, CA 96002-2122
(530) 226-1759
Mailing address
3184 CHURN CREEK RD, REDDING, CA 96002-2122
(530) 226-1759
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/25/2008
Last updated
12/14/2010
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