Doctor Name: | MS. SALLY ANNE ZUMWALT |
NPI Number: | 1124182605 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 654928 |
Business Practice Address: | 10080 N Wolfe Rd Suite Sw3-160 Cupertino, CA - 950142515 |
Business Phone Number: | 4083426699 |
Business Fax Number: | |
Mailing Address: | 1576 Mizzen Ln, HALF MOON BAY |
State: | CA |
Postal Code: | 940191536 |
Phone Number: | 6507266738 |
Fax Number: | |
NPI Enumeration Date: | 12/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 654928 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |