Individual
MRS. STACIE NACHI TSUKADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5901 E 7TH ST, C/O NUTRITION & FOOD SERVICES, LONG BEACH, CA 90822-5201
(562) 826-8000
(562) 826-5947
Mailing address
5901 E 7TH ST, C/O NUTRITION & FOOD SERVICES, LONG BEACH, CA 90822-5201
(562) 826-8000
(562) 826-5947
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00928665
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
09/09/2008
Last updated
09/09/2008
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