Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline Bonanno, RD

Individual provider Registered Dietitian · NPI 1124169271

Jacqueline Bonanno, RD is a Registered Dietitian in Lodi, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

1718 Sylvan Way #912
Lodi, CA 95242-4318
Phone: (415) 533-5737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 942665 (CA)

Record details

NPI number1124169271
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorYes
NPI enumeratedFebruary 10, 2007
Last updated in NPPESJuly 8, 2007

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