SAMARA TALIA PATTIASINA

PALO ALTO, CA
NPI1316510316
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: CA  86108841)
Enumeration Date2021-07-19
Last Update Date2022-04-08
Business Address
SAMARA TALIA PATTIASINA RD
725 WELCH RD
PALO ALTO, CA 94304-1601
Phone number: 650-497-8000
Mailing Address
SAMARA TALIA PATTIASINA RD
725 WELCH RD
PALO ALTO, CA 94304-1601
Phone number: 650-497-8000