Individual
MRS. CARLY LUCCHESI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
18040 ROB RIC RD, SONORA, CA 95370-8211
(530) 306-5312
(844) 413-7182
Mailing address
18040 ROB RIC RD, SONORA, CA 95370-8211
(530) 306-5312
(844) 413-7182
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1027686
CA
Other
Enumeration date
11/30/2016
Last updated
10/28/2024
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