Jennifer Houser, RD | |
22331 Mission Blvd, Hayward, CA 94541-3911 | |
(408) 460-7319 | |
Not Available |
Full Name | Jennifer Houser |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 22331 Mission Blvd, Hayward, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1205303260 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 86063249 (California) | Primary |
Provider Name | Tiburcio Vasquez Health Center, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1851389696 PECOS PAC ID: 6608764709 Enrollment ID: O20040309001428 |
Mailing Address | Practice Location Address |
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Jennifer Houser, RD 22331 Mission Blvd, Hayward, CA 94541-3911 Ph: () - | Jennifer Houser, RD 22331 Mission Blvd, Hayward, CA 94541-3911 Ph: (408) 460-7319 |
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