Individual
LISA SKRENCHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
751 S BASCOM AVE, ONCOLOGY DEPARTMENT, BQ205, SAN JOSE, CA 95128-2604
(408) 793-2670
(408) 885-3225
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 793-2670
(408) 885-3225
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
970911
CA
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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