Individual
MISS LISA NICOLE FAUCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD CNSC
Contact information
Practice address
505 PARNASSUS AVE, M-294, SAN FRANCISCO, CA 94143-2204
(415) 353-8254
(415) 353-8703
Mailing address
505 PARNASSUS AVE, M-294, SAN FRANCISCO, CA 94143-2204
(415) 353-8254
(415) 353-8703
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
954974
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
954974
CDR
CA
Enumeration date
05/05/2008
Last updated
01/06/2014
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