Individual
BROOKE STAATS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4725 MULQUEENEY CMN, LIVERMORE, CA 94550-7241
(414) 426-6978
Mailing address
4725 MULQUEENEY CMN, LIVERMORE, CA 94550-7241
(414) 426-6978
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2642
MA
Other
Enumeration date
08/30/2010
Last updated
01/19/2018
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