Individual
KEATON KIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
2961 RISDON DR, UNION CITY, CA 94587-1657
(808) 358-0405
Mailing address
2961 RISDON DR, UNION CITY, CA 94587-1657
(808) 358-0405
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86176923
CA
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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