Individual
MRS. AMY GLYNN KLOTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
606 ITHICA CT, VACAVILLE, CA 95687-5168
(804) 564-8760
Mailing address
606 ITHICA CT, VACAVILLE, CA 95687-5168
(804) 564-8760
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
816512
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
816512
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
04/26/2012
Last updated
05/06/2020
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