JACQUELYN CAROLE RUSSUM

OAKLAND, CA
NPI1710864657
Professional NameJACQUELYN CAROLE RUSSUM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: CA  600544)
Enumeration Date2025-08-20
Last Update Date2025-08-20
Business Address
JACQUELYN CAROLE RUSSUM RDN
3600 TELEGRAPH AVE
OAKLAND, CA 94609-2427
Phone number: 510-383-5161
Mailing Address
JACQUELYN CAROLE RUSSUM RDN
330 1ST ST
SAN RAFAEL, CA 94901-3716
Phone number: 510-710-3431
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