Individual
JAMIE SALAS-DUARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Credential
RD
Contact information
Practice address
105 N 1ST ST, SAN JOSE, CA 95113-1001
(669) 280-6546
Mailing address
105 N 1ST ST, SAN JOSE, CA 95113-1001
(669) 280-6546
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86358070
CA
Other
Enumeration date
11/19/2024
Last updated
12/04/2024
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