Individual
EVELYN THAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNC, BCHN
Contact information
Practice address
1051 BING ST, SAN CARLOS, CA 94070-5320
(415) 496-0201
Mailing address
1051 BING ST, SAN CARLOS, CA 94070-5320
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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