Individual
LAUREL HATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 E EL CAMINO REAL, MEDICAL STAFF OFFICE, MOUNTAIN VIEW, CA 94040-2833
(408) 739-6000
Mailing address
701 E EL CAMINO REAL, MEDICAL STAFF OFFICE, MOUNTAIN VIEW, CA 94040-2833
(408) 739-6000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
PA 00922766
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RD 922766
PA LICENSE
CA
Enumeration date
02/12/2007
Last updated
09/13/2013
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