Doctor Name: | STEPHANIE BOUQUET |
NPI Number: | 1003823238 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., R.D., C.D.E. |
License Number: | RD727246 |
Business Practice Address: | 110 John St Salinas, CA - 939013321 |
Business Phone Number: | 8318099725 |
Business Fax Number: | |
Mailing Address: | 18420 Wildrose Ct, SALINAS |
State: | CA |
Postal Code: | 939081542 |
Phone Number: | 8318099725 |
Fax Number: | |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 07/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | RD727246 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |