Organization
CENTRAL VALLEY DIABETES SELF MANAGEMENT PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON BOYD (OWNER)
(209) 351-4735
Entity
Organization
Contact information
Practice address
445 W WEBER AVE STE 128C, STOCKTON, CA 95203-3146
(209) 351-4735
Mailing address
445 W WEBER AVE STE 128C, STOCKTON, CA 95203-3146
(209) 351-4735
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
943612
CA
Other
Enumeration date
03/02/2017
Last updated
03/07/2017
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