Mrs Gwenaelle Jeanne Vezin, RD | |
171 Jardin Dr, Los Altos, CA 94022-1722 | |
(650) 935-2388 | |
Not Available |
Full Name | Mrs Gwenaelle Jeanne Vezin |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 171 Jardin Dr, Los Altos, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568815041 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Ilivewell Nutrition Therapy, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093150070 PECOS PAC ID: 5496186009 Enrollment ID: O20200515000498 |
Provider Name | Nourish, Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
Mailing Address | Practice Location Address |
---|---|
Mrs Gwenaelle Jeanne Vezin, RD 171 Jardin Dr, Los Altos, CA 94022-1722 Ph: (650) 935-2388 | Mrs Gwenaelle Jeanne Vezin, RD 171 Jardin Dr, Los Altos, CA 94022-1722 Ph: (650) 935-2388 |
Patricia Sitnitsky Pc Dietitian Medicare: Medicare Enrolled Practice Location: 827 Altos Oaks Dr Ste 4, Los Altos, CA 94024 Phone: 408-495-5770 Fax: 650-912-1129 | |
Alene Baronian, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4546 El Camino Real Ste 254, Los Altos, CA 94022 Phone: 650-941-2100 | |
Gwen Vezin Nutrition Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 171 Jardin Dr, Los Altos, CA 94022 Phone: 650-935-2388 |