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Individual

JOCELYN LAXA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1777 W YOSEMITE AVE, MANTECA, CA 95337-5130
(209) 825-3768
Mailing address
2926 BROOKDALE AVE APT 5, OAKLAND, CA 94602-2755

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
03/24/2020
Last updated
01/03/2022
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