NPI 1043628910

Carol Habercoss

Practitioner Dietary Manager Oakland, CA

Practice location

Address: 6955 Foothill Blvd STE 188, Oakland, CA 94605-2455
Phone: (510) 388-1768
Mailing address: 14360 Hemlock St, San Leandro, CA 94579-1134

Registered specialties

Dietary Manager Primary

Dietary & Nutritional Service Providers Taxonomy 132700000X

Other Dietary Manager providers in California →

Registry record

NPI: 1043628910
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jul 2014
Record last updated: 23 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.