Individual
MASOOMEH RAZEGHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-5000
Mailing address
219 FAIRWAY GLEN LN, SAN JOSE, CA 95139-1521
(408) 885-5000
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
86210297
CA
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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