Individual
DANIELLE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
842 E FIR AVE, FRESNO, CA 93720-3232
(415) 758-3264
Mailing address
842 E FIR AVE, FRESNO, CA 93720-3232
(415) 758-3264
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1028105
CA
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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