Individual
LIZETTE C PICASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSNE, MSED
Contact information
Practice address
PO BOX 2067, HAPPY VALLEY, OR 97015-2067
(415) 846-5778
Mailing address
PO BOX 2067, HAPPY VALLEY, OR 97015-2067
(415) 846-5778
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
171400000X
Health & Wellness Coach
—
—
1744G0900X
Graphics Designer
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/23/2023
Last updated
09/13/2024
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