NPI 1124169271

Jacqueline Bonanno, RD

Practitioner Registered Dietitian Lodi, CA

Practice location

Address: 1718 Sylvan Way #912, Lodi, CA 95242-4318
Phone: (415) 533-5737

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 942665 (CA)

Other Dietitian, Registered providers in California →

Registry record

NPI: 1124169271
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.