Individual
MS. ANGELA TO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1350 GREENWICH CT, SAN JOSE, CA 95125-5964
(626) 696-3369
Mailing address
1350 GREENWICH CT, SAN JOSE, CA 95125-5964
(626) 696-3369
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86041773
CA
Other
Enumeration date
12/01/2014
Last updated
07/20/2015
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