Individual
LIZA IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
9394 BIG HORN BLVD, ELK GROVE, CA 95758-7977
(916) 733-5798
(916) 733-5768
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/31/2020
Last updated
11/30/2023
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