Individual
EMMA STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 N STATE ST, UKIAH, CA 95482-3414
(707) 463-7427
Mailing address
165 GIBSON ST, UKIAH, CA 95482-3940
(707) 391-1829
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86276479
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86276479
COMMISSION ON DIETETIC REGISTRATION
CA
Enumeration date
09/16/2022
Last updated
09/16/2022
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