Provider Information for 1932406568
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Ms. KATHLEEN RIES M.S., M. P. H., R.D.
Sex: Female
NPI: 1932406568
Last Updated: 2021-01-26
Certification Date: 2021-01-26
Certification Date: 2021-01-26
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1932406568 | ||||||||
| Enumeration Date | 2011-02-16 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 347 BAYVIEW ST SAN RAFAEL, CA 94901-4933 United States Phone: 916-893-8469 | Fax: | ||||||||
| Primary Practice Address | 347 BAYVIEW ST SAN RAFAEL, CA 94901-4933 United States Phone: 916-893-8469 | Fax: | ||||||||
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