Individual
LORETTA ALLSUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNC
Contact information
Practice address
12401 FOLSOM BLVD, STE 306, RANCHO CORDOVA, CA 95742-6416
(408) 966-9424
Mailing address
4503 RIGEL CT, SHINGLE SPRINGS, CA 95682-5011
(408) 966-9424
(916) 799-2382
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
CA
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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