Individual
LISA BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.N.
Contact information
Practice address
25 RAUSCH ST, SAN FRANCISCO, CA 94103-3917
(415) 857-4866
Mailing address
25 RAUSCH ST, SAN FRANCISCO, CA 94103-3917
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
983128
CA
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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