Kay Lynn Peck MPH RD CDE

NPI 1134268808 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1134268808
Gender Female
Enumeration Date 02/06/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1550 GATEWAY BLVD
FAIRFIELD CA, 94533-6901, US
Phone (707) 427-4623
Fax
Business Location
1550 GATEWAY BLVD
FAIRFIELD CA, 94533-6901, US
Phone (707) 427-4623
Fax
Toxanomy
Taxonomy Code 133V00000X
License State California
License Number 712217
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According to our database, Mrs. Kay Lynn Peck MPH RD CDE NPI is 1134268808, taxonomy code is 133V00000X and license number is 712217, license state is located at California. Kay Lynn Peck MPH RD CDE physically located at 1550 Gateway Blvd, Fairfield CA, 94533-6901. NPI Number Kay Lynn Peck MPH RD CDE has the Individual type.

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1134268808 NPI number is provided on an as is basis without warranty of any kind. 1134268808 is maintained by the National Plan & Provider Enumeration System. The contents of Kay Lynn Peck MPH RD CDE are for informational purposes only.