Individual
ELISE MARIE PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
27400 HESPERIAN BLVD, HAYWARD, CA 94545-4235
(510) 784-4201
Mailing address
502 RAILWAY AVE, APT 215, CAMPBELL, CA 95008-3030
(408) 221-3341
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1103923
CA
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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