Doctor Name: | VALARIE KANE |
NPI Number: | 1396180816 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | |
Business Practice Address: | 641 Aldwych Ct Galt, CA - 956328446 |
Business Phone Number: | 2092000777 |
Business Fax Number: | 9167212241 |
Mailing Address: | 1101 Terra Way, ROSEVILLE |
State: | CA |
Postal Code: | 956614715 |
Phone Number: | 2092000777 |
Fax Number: | 9167212241 |
NPI Enumeration Date: | 05/10/2013 |
NPI Last Update Date: | 08/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133VN1004X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | Nutrition, Pediatric |
Taxonomy Definition: |