Organization
EMILY CHAMPOUX MPH, RD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY KATHERINE CHAMPOUX MPH, RD (REGISTERED DIETITIAN)
(651) 328-1616
Entity
Organization
Contact information
Practice address
8 MOULTON ST, SAN FRANCISCO, CA 94123-3521
(651) 328-1616
Mailing address
8 MOULTON ST # A, SAN FRANCISCO, CA 94123-3521
(651) 328-1616
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952943250
—
MD
Enumeration date
05/20/2020
Last updated
05/20/2020
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