Organization
BAY AREA NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE DAWN BROOKS MS, RD, CEDRD-S (CEO NUTR THERAPIST CONSULTANT)
(408) 370-7731
Entity
Organization
Contact information
Practice address
441 N CENTRAL AVE STE 2A, CAMPBELL, CA 95008-1428
(408) 370-7731
(408) 370-7732
Mailing address
441 N CENTRAL AVE STE 2A, CAMPBELL, CA 95008-1428
(408) 370-7731
(408) 370-7732
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ24927Z
GROUP PRACTICE
CA
Enumeration date
03/16/2007
Last updated
11/13/2020
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