Individual
JESSICA B. DEFALCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
17360 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708
(714) 822-1334
(714) 665-4610
Mailing address
17360 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708
(714) 822-1334
(714) 665-4610
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86290310
CA
Other
Enumeration date
09/27/2022
Last updated
07/18/2025
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