| Vrdn | |
|
415 W Benjamin Holt Dr Ste B3, Stockton, CA 95207-3958 | |
| (209) 227-0722 | |
| (866) 862-8832 |
| Full Name | Vrdn |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered - Nutrition, Oncology |
| Location | 415 W Benjamin Holt Dr Ste B3, Stockton, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831855311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133VN1301X | Dietitian, Registered - Nutrition, Oncology | (* (Not Available)) | Primary |
| Provider Name | Mara Da Luz Bernardo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255904512 PECOS PAC ID: 9335530195 Enrollment ID: I20220105001536 |
| Provider Name | Maria Fernanda Navarro Junez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437722600 PECOS PAC ID: 9739572827 Enrollment ID: I20220214001679 |
| Provider Name | Esmeralda Carrillo Pineda |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598539918 PECOS PAC ID: 3375986177 Enrollment ID: I20240208002837 |
| Mailing Address | Practice Location Address |
|---|---|
| Vrdn 415 W Benjamin Holt Dr Ste B3, Stockton, CA 95207-3958 Ph: (209) 227-0722 | Vrdn 415 W Benjamin Holt Dr Ste B3, Stockton, CA 95207-3958 Ph: (209) 227-0722 |
Miss Rosario Aguirre, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-5186 Fax: 209-476-3144 | |
Ronli Levi, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-467-5356 | |
Christina Ellis, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 408-314-4600 | |
Vanessa Aldana Romo, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 425 N California St Ste 7, Stockton, CA 95202 Phone: 209-870-5000 | |
Mrs. Johnna Coppock, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-467-6356 | |
Yesenia Cihuacoatl, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1617 N California St, Suite 2g, Stockton, CA 95204 Phone: 209-461-5268 Fax: 209-461-5395 | |
Ms. Sandra Joy Sadahiro, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-5419 |