Jackie Lennett Peterson, RD CDCES Valid NPI
Individual provider · Registered Dietitian · Pleasant Hill, CA
- NPI
- 1194289983
- Type
- Individual (Type 1)
- Primary specialty
- Registered Dietitian (Dietitian, Registered)
- Specialty group
- Dietary & Nutritional Service Providers
- Taxonomy code
- 133V00000X
- License number
- 86100784 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2019-01-25
- Last updated
- 2023-08-14
Practice location
213 Ilene Dr
Pleasant Hill, CA 94523-2226
(925) 819-0414