Organization
UCSF CHILDREN'S HOSPITAL
Active
Other names
UCSF
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALLISON LATRAY RD (SENIOR DIETITIAN)
(916) 216-6042
Entity
Organization
Contact information
Practice address
568 LOUIS DR, NOVATO, CA 94945-3337
(916) 216-6042
Mailing address
568 LOUIS DR, NOVATO, CA 94945-3337
(916) 216-6042
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
963786
CA
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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