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Carol Jabasa, RDN

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

NPI number1629596366
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1629596366
Entity type
Individual (NPI-1)
Name
Carol Jabasa
Credential
RDN
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 1, 2017
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered–CAYes

Practice location

4030 Porte La Paz Unit 85
San Diego, CA 92122-1984

Phone 858-453-2364

Mailing address

4030 Porte La Paz Unit 85
San Diego, CA 92122-1984

Phone 858-453-2364

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