Individual
JOHN JACOB QUINTANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
1401 21ST ST # 10125, SACRAMENTO, CA 95811-5226
(916) 249-2527
Mailing address
1401 21ST ST # 10125, SACRAMENTO, CA 95811-5226
(916) 249-2527
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86377549
CA
Other
Enumeration date
05/02/2024
Last updated
09/11/2024
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