Cunningham, Jacklyn

Cunningham, Jacklyn is an sole proprietor health care provider with primary practice located at 8921 Joshua Ln , Yucca Valley CA 92284-6306. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Pediatric. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Cunningham, Jacklyn can be contacted via phone (760) 820-1246.

Contact Information

Primary practice address
8921 Joshua Ln Yucca Valley CA 92284-6306
Phone: (760) 820-1246
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 955014 California
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X 955014 California

Profile Details

NPI number 1326337924
LBN Legal business name Cunningham, Jacklyn
Credentials RD, CNSD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2011
Last updated Apr 4th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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