Individual
ANGEL EDGARDO BECERRA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
1141 PEAR TREE LN, NAPA, CA 94558-6484
(707) 254-1770
Mailing address
1101 ASTI PL, SANTA ROSA, CA 95401-9588
(707) 583-5433
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86067659
—
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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