Ronwald Vicencio, RD

NPI #1053666230 in Alameda, California

Provider Information

NPI Number
1053666230
Entity Type
Individual
Name
Ronwald Vicencio, RD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dietitian, Registered
Credential
RD
Enumeration Date
Jul 13, 2012
Last Updated
Jul 13, 2012

Practice Location

Address
753 LINCOLN AVE APT B
ZIP Code
94501-3330
Phone
(510) 610-8307

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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