Individual
CHIARA MARIA KAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6741 SEBASTOPOL AVE STE 120-140, SEBASTOPOL, CA 95472-3839
(707) 477-7791
Mailing address
PO BOX 757, SEBASTOPOL, CA 95473-0757
(707) 477-7791
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86035348
CA
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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