ALICE DALE WATERBURY FAGUNDES

SAN JOSE, CA
NPI1437482932
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: CA  970752)
Enumeration Date2009-09-15
Last Update Date2013-09-09
Business Address
Mrs. ALICE DALE WATERBURY FAGUNDES MS, RDN
175 N JACKSON AVE SUITE 209
SAN JOSE, CA 95116-1909
Phone number: 408-568-4181
Mailing Address
Mrs. ALICE DALE WATERBURY FAGUNDES MS, RDN
175 N JACKSON AVE SUITE 209
SAN JOSE, CA 95116-1909
Phone number: 408-568-4181
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