Individual
DESIREE PEREA MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
901 NEVIN AVE, RICHMOND, CA 94801-3143
(510) 307-3063
Mailing address
480 BOLLINGER CANYON LN, 177, SAN RAMON, CA 94582-9012
(510) 307-3063
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/19/2006
Last updated
01/03/2022
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