Individual
IRENE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1425 S MAIN ST, WALNUT CREEK, CA 94596-5318
(925) 295-4000
Mailing address
1170 TRAILSIDE CIR, CONCORD, CA 94518-2185
(707) 292-0791
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
923548
CA
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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