Individual
MARY ZEIDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
99 MONTECILLO RD, SAN RAFAEL, CA 94903-3308
(415) 444-2000
Mailing address
3573 TERRACE WAY APT 39, LAFAYETTE, CA 94549-3844
(415) 312-5919
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86292864
CA
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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