Individual
LISA CHRISTINE ZACCARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
200 MUIR RD, MARTINEZ, CA 94553-4614
(925) 372-1438
(925) 372-1392
Mailing address
4370 HAAG RD, MARTINEZ, CA 94553-4414
(510) 502-3554
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1024450
CA
133VN1005X
Renal Nutrition Registered Dietitian
Primary
1024450
CA
Other
Enumeration date
06/24/2019
Last updated
01/03/2022
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