Individual
MS. EILEEN CLAIRE BEAUDETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
222 W 39TH AVE, SAN MATEO, CA 94403-4364
(650) 573-2251
Mailing address
2737 GARBER ST, BERKELEY, CA 94705-1346
(510) 849-2521
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
298993
CA
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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