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
Mailing address1718 Sylvan Way, 912, Lodi, CA 95242-4318

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