Individual
MRS. LISA MICHELLE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
270 INTERNATIONAL CIR, BUILDING 2 NORTH, SAN JOSE, CA 95119-1130
(408) 972-3000
Mailing address
270 INTERNATIONAL CIR, BUILDING 2 NORTH, SAN JOSE, CA 95119-1130
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
836316
CA
Other
Enumeration date
01/29/2007
Last updated
01/03/2022
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