Individual provider · NPI-1

Sumer Al-Ani, RD, LDN

Dietitian, Registered · San Jose, CA

NPI number1417780800
StatusActive
Last updated in NPPESAug 22, 2024

Details

NPI
1417780800
Entity type
Individual (NPI-1)
Name
Sumer Al-Ani
Credential
RD, LDN
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 22, 2024
Certification date
Aug 22, 2024
Last updated
Aug 22, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, RegisteredDN007704CAYes

Practice location

1390 Saddle Rack St
San Jose, CA 95126-5112

Phone 972-352-9972

Mailing address

1390 Saddle Rack St Apt 444
San Jose, CA 95126-5121

Phone 972-352-9972

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