Individual
JENNA PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2025 MORSE AVE, SACRAMENTO, CA 95825-2115
(916) 973-6907
Mailing address
388 CARPENTER HILL RD, FOLSOM, CA 95630-6270
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21942988
KAISER PERMANENTE
CA
Enumeration date
06/22/2022
Last updated
06/22/2022
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