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MR. RICHARD DUQUE R.D

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

Registrant NPI Number: 1629386792

Individual Registrant:
MR. RICHARD  DUQUE R.D
Gender: M
Sole Proprietor

Location and contact information for practice:
285 TURNSTONE CT  FOSTER CITY, CA 94404-1435 US
Tel: 650-773-2433  Fax: --

Contact information for business:
2001 JUNIPERO SERRA BLVD  DALY CITY, CA 94014-3891 US
Tel: --  Fax: --

Registration Information:
NPI: 1629386792
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
CA984211

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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