Individual
SUSAN ASTRID BLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NC
Contact information
Practice address
2303 CAMINO RAMON # 208, SAN RAMON, CA 94583-1392
(510) 610-4644
(925) 407-8344
Mailing address
2303 CAMINO RAMON # 208, SAN RAMON, CA 94583-1392
(510) 610-4644
(925) 407-8344
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
05/15/2020
Last updated
05/15/2020
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