Individual
AMRITA JAYAGOPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, MA, CDE
Contact information
Practice address
168 11TH ST, OAKLAND, CA 94607-4841
(510) 419-0888
Mailing address
2383 N MAIN ST, UNIT 222, WALNUT CREEK, CA 94596-3549
(925) 954-7213
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/12/2010
Last updated
06/12/2010
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