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Pooja Vyas, RDN

Dietitian, Registered in Stockton, CA. Individual provider (NPI-1).

NPI number1346816618
StatusActive
Last updated in NPPESMay 27, 2021

Details

NPI
1346816618
Entity type
Individual (NPI-1)
Name
Pooja Vyas
Credential
RDN
Sex
Female
Sole proprietor
Yes
Enumeration date
May 27, 2021
Certification date
May 27, 2021
Last updated
May 27, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered86014433CAYes

Practice location

5716 Saint Andrews Dr
Stockton, CA 95219-1929

Phone 760-900-2837

Mailing address

5716 Saint Andrews Dr
Stockton, CA 95219-1929

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