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1174174064
JESSICA ELISE EKSTRUM
SACRAMENTO, CA
NPI
1174174064
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2019-09-23
Last Update Date
2021-07-19
Business Address
JESSICA ELISE EKSTRUM RDN
2315 STOCKTON BLVD
SACRAMENTO, CA 95817-2201
Phone number: 916-734-2011
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Mailing Address
JESSICA ELISE EKSTRUM RDN
2315 STOCKTON BLVD
SACRAMENTO, CA 95817-2201
Phone number: 916-734-8323
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