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1184228710
CARLY ANNE ISMAN
OAKLAND, CA
NPI
1184228710
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: CA 86117937)
Enumeration Date
2020-11-24
Last Update Date
2020-11-24
Business Address
CARLY ANNE ISMAN RD
747 52ND ST
OAKLAND, CA 94609-1809
Phone number: 510-428-3885
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Mailing Address
CARLY ANNE ISMAN RD
747 52ND STREET C/O CLINICAL NUTRITION DEPARTMENT
OAKLAND, CA 94609
Phone number:
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