Individual
HEATHER KATHLEEN SPREAFICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
1941 JOHNSON AVE STE 105B, SAN LUIS OBISPO, CA 93401-4140
(805) 786-6170
Mailing address
1941 JOHNSON AVE STE 105B, SAN LUIS OBISPO, CA 93401-4140
(805) 786-6170
(805) 786-6171
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14572010
CAQH PROVIEW
CA
Enumeration date
11/06/2019
Last updated
11/08/2023
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