Individual
CARLY ANNE ISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3885
Mailing address
747 52ND STREET, C/O CLINICAL NUTRITION DEPARTMENT, OAKLAND, CA 94609
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86117937
CA
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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