Jacqueline Vanessa Acosta, RDN
Dietitian, Registered in San Diego, CA. Individual provider (NPI-1).
NPI number1659135879
StatusActive
Last updated in NPPESAug 7, 2024
Details
- NPI
- 1659135879
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Vanessa Acosta
- Credential
- RDN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 8, 2024
- Certification date
- Aug 7, 2024
- Last updated
- Aug 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86359605 | CA | Yes |
Practice location
1809 National AveSan Diego, CA 92113-2113
Phone 619-515-2300
Mailing address
2475 Paseo De Las Americas # 1174San Diego, CA 92154-7255
Phone 619-867-2582
Other practice locations
7310 Parkway Dr Apt 213
La Mesa, CA 91942-1828
La Mesa, CA 91942-1828
Phone 619-867-2582
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