Doctor Name: | SUSAN WATKINS |
NPI Number: | 1376857383 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | RD883073 |
Business Practice Address: | 100 E Valencia Mesa Dr Suite 105 Fullerton, CA - 928353813 |
Business Phone Number: | 7144465640 |
Business Fax Number: | 7144465625 |
Mailing Address: | 279 Imperial Hwy, Suite 730 FULLERTON |
State: | CA |
Postal Code: | 928351041 |
Phone Number: | 7144494800 |
Fax Number: | 7144494956 |
NPI Enumeration Date: | 08/02/2010 |
NPI Last Update Date: | 08/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | RD883073 |
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 |