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Individual

MRS. INSUK S. DURHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.D

Contact information

Practice address
4951 ARROYO RD, LIVERMORE, CA 94550-9650
(925) 373-4700
Mailing address
2730 WHITEHALL CT, LIVERMORE, CA 94550-7361
(925) 455-5549

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
542470
IL

Other

Enumeration date
08/14/2006
Last updated
07/08/2007
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