Individual
BRANDI FITZSIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2500 GRANT RD, MOUNTAIN VIEW, CA 94040-4302
(650) 940-7005
Mailing address
421 GRANT ST, SANTA CRUZ, CA 95060-2922
(831) 419-9298
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
888066
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
I DO NOT HAVE PROVIDER NUMBERS
—
Enumeration date
11/15/2022
Last updated
11/15/2022
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