James Vincent Fazzio, R.D.

NPI #1235672494 in Castro Vallye, California

Provider Information

NPI Number: 1235672494
Entity Type: Individual
Name: James Vincent Fazzio, R.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: R.D.
Enumeration Date: Nov 21, 2016
Last Updated: Nov 21, 2016

Practice Location

Address: 18030 LAMSON RD
City: Castro Vallye
State: California
ZIP Code: 94546-1313
Phone: (510) 909-7594

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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