Detraz, Dionne Faye

Detraz, Dionne Faye is an sole proprietor health care provider with primary practice located at 99 Montecillo Rd , San Rafael CA 94903-3308. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Detraz, Dionne Faye can be contacted via phone (415) 444-2189.

Contact Information

Primary practice address
99 Montecillo Rd San Rafael CA 94903-3308
Phone: (415) 444-2189
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1275760340
LBN Legal business name Detraz, Dionne Faye
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2009
Last updated Jun 16th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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