Individual
KRISTY VICARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 FARALLON DR, VALLEJO, CA 94590-3424
(707) 373-2404
Mailing address
105 FARALLON DR, VALLEJO, CA 94590-3424
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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