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ELIZABETH ROSE ALDRIDGE RD

>> Dietitian, Registered >> Dietary & Nutritional Service Providers

Registrant NPI Number: 1740768159

Individual Registrant:
 ELIZABETH ROSE ALDRIDGE RD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2222 BANCROFT WAY  BERKELEY, CA 94720-4301 US
Tel: 510-642-2000  Fax: --

Contact information for business:
2222 BANCROFT WAY  BERKELEY, CA 94720-4301 US
Tel: 510-642-2000  Fax: --

Registration Information:
NPI: 1740768159
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
CA

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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