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Individual

BECKY L VATANPARAST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
975 S FAIRMONT AVE, LODI, CA 95240-5118
(209) 339-7637
(209) 339-7433
Mailing address
975 S FAIRMONT AVE, LODI, CA 95240-5118
(209) 339-7637
(209) 339-7433

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
941299
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
941299
REGISTERED DIETICIAN NUMB
CA
Enumeration date
01/19/2007
Last updated
06/10/2010
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