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1659135879
JACQUELINE VANESSA ACOSTA
SAN DIEGO, CA
NPI
1659135879
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: CA 86359605)
Enumeration Date
2024-02-08
Last Update Date
2024-08-07
Business Address
JACQUELINE VANESSA ACOSTA RDN
1809 NATIONAL AVE
SAN DIEGO, CA 92113-2113
Phone number: 619-515-2300
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Mailing Address
JACQUELINE VANESSA ACOSTA RDN
2475 PASEO DE LAS AMERICAS # 1174
SAN DIEGO, CA 92154-7255
Phone number: 619-867-2582
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