Individual
COLLETTE L ULIVARRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
7875 BLUE MOON RD, PASO ROBLES, CA 93446-6346
(805) 904-9782
(805) 360-4050
Mailing address
7875 BLUE MOON RD, PASO ROBLES, CA 93446-6346
(805) 904-9782
(805) 360-4050
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD005673
GA
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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