Individual
ALBERT ARIEL ALCANTARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 E ORANGEBURG AVE, MODESTO, CA 95355-3351
(209) 417-0949
Mailing address
180 VICENZA DR, STOCKTON, CA 95209-3823
(350) 204-2266
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86329220
CA
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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