Individual
MRS. AMANI EZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
138 BALBACH ST, UNIT 422, SAN JOSE, CA 95110
(734) 383-5893
Mailing address
138 BALBACH ST, UNIT 422, SAN JOSE, CA 95110
(734) 383-5893
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
CA
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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