Individual
KATHERIN MARIE GUEVARA OCAMPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5531 BLOSSOM GARDENS CIR # 5531, SAN JOSE, CA 95123-6163
(510) 375-7545
Mailing address
5531 BLOSSOM GARDENS CIR # 5531, SAN JOSE, CA 95123-6163
(510) 375-7545
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111
—
CA
Enumeration date
02/27/2023
Last updated
02/27/2023
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