Doctor Name: | MR. JOHN LARRY ROBERTS |
NPI Number: | 1972870731 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | R.D. |
License Number: | 505769 |
Business Practice Address: | 4601 Dale Rd Modesto, CA - 953569718 |
Business Phone Number: | 2097355086 |
Business Fax Number: | |
Mailing Address: | 2518 River Cove Dr, RIVERBANK |
State: | CA |
Postal Code: | 953673332 |
Phone Number: | 7074974659 |
Fax Number: | |
NPI Enumeration Date: | 11/22/2011 |
NPI Last Update Date: | 01/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 505769 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |