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Individual

ASHLEIGH COFFENG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D.

Contact information

Practice address
1333 MERIDIAN AVE, SAN JOSE, CA 95125-5212
(650) 967-5434
Mailing address
1333 MERIDIAN AVE, SAN JOSE, CA 95125-5212
(650) 967-5434

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
864447
CA

Other

Enumeration date
07/26/2006
Last updated
07/08/2007
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