Individual
MANNY BRAZIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
233 JUNEAU DR, VACAVILLE, CA 95687-7893
(707) 514-5418
Mailing address
233 JUNEAU DR, VACAVILLE, CA 95687-7893
(707) 514-5418
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86131716
CA
Other
Enumeration date
08/01/2020
Last updated
08/01/2020
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