Individual provider · NPI-1

Jessica Sarahi Avalos Guerrero

Dietitian, Registered · San Jose, CA

NPI number1992521868
StatusActive
Last updated in NPPESNov 25, 2024

Details

NPI
1992521868
Entity type
Individual (NPI-1)
Name
Jessica Sarahi Avalos Guerrero
Sex
Female
Sole proprietor
No
Enumeration date
Nov 25, 2024
Certification date
Nov 25, 2024
Last updated
Nov 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered86314181CAYes

Practice location

295 Tradewinds Dr Apt 101
San Jose, CA 95123-6078

Phone 408-694-8933

Mailing address

295 Tradewinds Dr Apt 101
San Jose, CA 95123-6078

Phone 408-694-8933

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