Individual provider · NPI-1

Tugba Bayrak

Dietitian, Registered · San Jose, CA

NPI number1356847156
StatusActive
Last updated in NPPESJun 16, 2018

Details

NPI
1356847156
Entity type
Individual (NPI-1)
Name
Tugba Bayrak
Sex
Female
Sole proprietor
No
Enumeration date
Apr 2, 2018
Last updated
Jun 16, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered––Yes
133VN1006X Dietitian, Registered, Nutrition, Metabolic––

Practice location

489 Waskow Dr
San Jose, CA 95123-4956

Phone 404-918-9015

Mailing address

489 Waskow Dr
San Jose, CA 95123-4956

Phone 404-918-9015

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