Organization
DIETS AND LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PURVI SHAH RDN (REGISTERED DIETITIAN NUTRITIONIST)
(408) 802-6684
Entity
Organization
Contact information
Practice address
4135 VOLTAIRE ST, SAN JOSE, CA 95148-4356
(408) 802-6684
Mailing address
4135 VOLTAIRE ST, SAN JOSE, CA 95148-4356
(408) 802-6684
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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