Individual
MANUEL FERNANDO VILLACORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RD
Contact information
Practice address
760 MARKET ST, SUITE 324, SAN FRANCISCO, CA 94102-2401
(415) 398-2102
Mailing address
760 MARKET ST, SUITE 324, SAN FRANCISCO, CA 94102-2401
(415) 398-2102
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
949731
CA
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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