Individual
DANIELLE L BAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4501 X ST, SACRAMENTO, CA 95817-2229
(916) 734-6608
Mailing address
9444 HARBOUR POINT DR APT 9, ELK GROVE, CA 95758-3722
(832) 705-2123
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
884233
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
884233
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
09/27/2018
Last updated
09/27/2018
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