Individual
KIMBERLY IRENE ANCIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
366 ACORN PL, LIVERMORE, CA 94550-8681
(925) 784-9317
Mailing address
366 ACORN PL, LIVERMORE, CA 94550-8681
(925) 784-9317
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1006606
CA
Other
Enumeration date
10/07/2020
Last updated
11/27/2023
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