Weiss, Andrea Nicole

Weiss, Andrea Nicole is an individual health care provider with primary practice located at 701 E Channel St , Stockton CA 95202-2628. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Weiss, Andrea Nicole can be contacted via phone (209) 944-4700.

Contact Information

Primary practice address
701 E Channel St Stockton CA 95202-2628
Phone: (209) 944-4700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 00984906 California

Profile Details

NPI number 1639481336
LBN Legal business name Weiss, Andrea Nicole
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2010
Last updated Jul 9th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639481336 NPPES
California Other 00984906 COMMISSION ON DIETETIC REGISTRATION

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