Individual
MRS. PATRICIA GAIL LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., C.N.S.C.
Contact information
Practice address
3505 BROADWAY, 12TH FLOOR, OAKLAND, CA 94611-5714
(510) 752-1200
Mailing address
3505 BROADWAY, 12TH FLOOR, OAKLAND, CA 94611-5714
(510) 752-1200
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
00985323
CA
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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