Individual
GENEVIVE DAMASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3451 E 12TH ST, OAKLAND, CA 94601-3463
(510) 535-3700
Mailing address
1623 ALCATRAZ ST, UNIT F, BERKLEY, CA 94703
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86372091
CA
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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