Individual
MS. KIMBERLY LEAF GLEESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2315 STOCKTON BLVD, FOOD AND NUTRITION SERVICES OP160, SACRAMENTO, CA 95817-2201
(916) 734-0895
Mailing address
2315 STOCKTON BLVD, FOOD AND NUTRITION SERVICES, SACRAMENTO, CA 95817-2201
(916) 734-0895
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1076948
CA
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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