ALICIA PONTECORVO

SAN RAFAEL, CA
NPI1437797271
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: CA  1076109)
Enumeration Date2019-12-11
Last Update Date2021-12-27
Business Address
ALICIA PONTECORVO RD
99 MONTECILLO RD
SAN RAFAEL, CA 94903-3308
Phone number: 415-444-2000
Mailing Address
ALICIA PONTECORVO RD
99 MONTECILLO RD
SAN RAFAEL, CA 94903-3308
Phone number: 510-517-5547
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