Individual
MS. CAROL LEE CERESA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
4150 CLEMENT ST, SAN FRANCISCO, CA 94121-1545
(415) 221-4810
(415) 750-2205
Mailing address
4150 CLEMENT ST, SAN FRANCISCO, CA 94121-1545
(415) 221-4810
(415) 750-2205
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/06/2006
Last updated
07/08/2007
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