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Individual

BETH FAHNHORST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P., R.D.

Contact information

Practice address
4150 CLEMENT ST, SAN FRANCISCO, CA 94121-1563
(415) 551-7376
Mailing address
74 OUTLOOK CIR, PACIFICA, CA 94044-2145
(650) 355-9580

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
606678
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
584739
CA

Other

Enumeration date
05/17/2007
Last updated
01/03/2022
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