Individual
MS. LISA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, RDN
Contact information
Practice address
15405 LOS GATOS BLVD #101, LOS GATOS, CA 95032
(408) 358-4915
Mailing address
15405 LOS GATOS BLVD #101, LOS GATOS, CA 95032
(408) 358-4915
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
AND11008
CA
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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