in Bishop - Nutrition, Renal

- NPI 1477710432

is a Nutrition, Renal in Bishop, California. practices all healthcare services and medical treatments related to Nutrition, Renal. The NPI Number for is 1477710432. The last update date is .

's current location address is 192 Edward Street, Bishop, California. You can contact this provider via phone number 7608728313 and fax number 7608723754. The mailing address for is 192 Edward Street, Bishop, California. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 192 Edward Street, Bishop, California
Phone Number 7608728313
Fax Number 7608723754
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1477710432
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 192 Edward Street
City Bishop
State California (CA)
Post Code 93514
Phone Number 7608728313
Fax Number 7608723754

Provider's Primary Taxonomy Detail

Speciality Nutrition, Renal
Taxonomy 133Vn1005X
Licence No 892381
Definition:
An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transpl

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