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Jackie Lennett Peterson, RD CDCES

Dietitian, Registered in Pleasant Hill, CA. Individual provider (NPI-1).

NPI number1194289983
StatusActive
Last updated in NPPESAug 14, 2023

Details

NPI
1194289983
Entity type
Individual (NPI-1)
Name
Jackie Lennett Peterson
Credential
RD CDCES
Sex
Female
Sole proprietor
No
Enumeration date
Jan 25, 2019
Certification date
Aug 14, 2023
Last updated
Aug 14, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered86100784CAYes

Other names

  • Jackie Hanna Lennett (Former Name)

Practice location

213 Ilene Dr
Pleasant Hill, CA 94523-2226

Phone 925-819-0414

Mailing address

1888 Berkeley Way Apt 306
Berkeley, CA 94703-1684

Phone 925-819-0414

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Other Registered Dietitian providers in Pleasant Hill, CA

All 9 Registered Dietitian providers in Pleasant Hill · All 1,052 providers in Pleasant Hill

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