Provider Demographics
NPI:1538405972
Name:SANTORI, JACINTA A (MS, RD)
Entity type:Individual
Prefix:
First Name:JACINTA
Middle Name:A
Last Name:SANTORI
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:JACINTA
Other - Middle Name:A
Other - Last Name:KRYCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1501 W 24TH ST
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-6370
Mailing Address - Country:US
Mailing Address - Phone:928-336-5483
Mailing Address - Fax:928-336-1254
Practice Address - Street 1:1501 W 24TH ST
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-6370
Practice Address - Country:US
Practice Address - Phone:928-336-5483
Practice Address - Fax:928-336-1254
Is Sole Proprietor?:No
Enumeration Date:2012-12-12
Last Update Date:2015-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered