Individual
HANNAH MARIE LISERRA REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
6609 STANLEY AVE, CARMICHAEL, CA 95608-3951
(916) 238-5058
Mailing address
6609 STANLEY AVE, CARMICHAEL, CA 95608-3951
(916) 238-5058
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86301890
CA
Other
Enumeration date
11/23/2022
Last updated
02/13/2024
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