Individual
MS. MARISA L TESSADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1800 N CALIFORNIA ST, STOCKTON, CA 95204-6019
(209) 467-6356
(209) 461-6894
Mailing address
1800 N CALIFORNIA ST, STOCKTON, CA 95204-6019
(209) 467-6356
(209) 461-6894
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
886026
CA
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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