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Kaylene Sackett, RD

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

NPI number1336735331
StatusActive
Last updated in NPPESApr 23, 2024

Details

NPI
1336735331
Entity type
Individual (NPI-1)
Name
Kaylene Sackett
Credential
RD
Sex
Female
Sole proprietor
No
Enumeration date
Dec 15, 2020
Certification date
Apr 23, 2024
Last updated
Apr 23, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered86087400CAYes

Practice location

44605 Avenida De Missiones Ste 100
Temecula, CA 92592-5001

Phone 951-302-3675

Mailing address

538 8th St Apt 1
Hermosa Beach, CA 90254-4260

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