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JACQUELINE VERONICA AHERN RD/RDN

>> Dietitian, Registered >> Dietary & Nutritional Service Providers

Registrant NPI Number: 1295351021

Individual Registrant:
 JACQUELINE VERONICA AHERN RD/RDN
Gender: F
Sole Proprietor

Location and contact information for practice:
525 BETHANY CURV  SANTA CRUZ, CA 95060-5312 US
Tel: 650-454-9882  Fax: --

Contact information for business:
525 BETHANY CURV  SANTA CRUZ, CA 95060-5312 US
Tel: --  Fax: --

Registration Information:
NPI: 1295351021
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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