Individual
CLARISSA HOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RD
Contact information
Practice address
1900 OFARRELL ST STE 250, SAN MATEO, CA 94403-1387
(650) 422-7475
Mailing address
1900 OFARRELL ST STE 250, SAN MATEO, CA 94403-1387
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
10/27/2023
Last updated
10/20/2025
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