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MRS. COLLEEN MARIE HOUGH RD

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

Registrant NPI Number: 1033380696

Individual Registrant:
MRS. COLLEEN MARIE HOUGH RD
Gender: F
Sole Proprietor

Location and contact information for practice:
922 WEYMOUTH BLUFF RD  FERNDALE, CA 95536-9573 US
Tel: 707-786-9601  Fax: --

Contact information for business:
922 WEYMOUTH BLUFF RD  FERNDALE, CA 95536-9573 US
Tel: 707-786-9601  Fax: --

Registration Information:
NPI: 1033380696
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
CA804773

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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