Individual
JESSICA DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
9894 GENESEE AVE, SAN DIEGO, CA 92037-1296
(858) 626-5066
(858) 784-5960
Mailing address
FILE # 54433, LOS ANGELES, CA 90074-4433
(858) 784-5888
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
RD1000469
CA
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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