Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 15687 | CA |
NPI | 1063525467 |
---|---|
Provider Name | Claudette Nassoor-Satnick |
First Address | San Diego, CA 92129-2966 |
Second Address | San Diego, CA 92129-2966 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2006 |
Last Update Date | 18/12/2014 |