Individual
MS. KATHLEEN M. SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., R.D.
Contact information
Practice address
1200 B GALE WILSON BLVD, NUTRITION SERVICES AT NORTHBAY HEALTHCARE, FAIRFIELD, CA 94533
(707) 429-7870
Mailing address
1200 B GALE WILSON BLVD, NUTRITION SERVICES AT NORTHBAY HEALTHCARE, FAIRFIELD, CA 94533
(707) 429-7870
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
719448
CA
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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