Individual
RACHAEL MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1 SHIELDS AVE, DAVIS, CA 95616-5270
(530) 304-2104
Mailing address
1 SHIELDS AVE, DAVIS, CA 95616-5270
Taxonomy
Speciality
Code
Description
License number
State
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
86093166
CA
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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