Individual
JENNIFER LYNN MCISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HHP, CMT, CCMH
Contact information
Practice address
5252 BALBOA AVE STE 706, SAN DIEGO, CA 92117-2949
(619) 889-9912
Mailing address
5252 BALBOA AVE STE 706, SAN DIEGO, CA 92117-2949
(619) 889-9912
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
171400000X
Health & Wellness Coach
Primary
2003006141
—
225700000X
Massage Therapist
7931
CA
Other
Enumeration date
06/28/2019
Last updated
02/24/2025
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