Most Relevant Information
Provider Data
| NPI Number: | 1003062373 |
| Provider Name: | SUSAN WOLFE HAZEGHAZAM RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/18/2008 |
| Last Updated: | 08/18/2008 |
Provider Practice Location
2025 P ST
SACRAMENTO
CA
958115213
Practice Location Phone/Fax
| Phone: | 9164464449 |
| Fax: | 9164469370 |
Provider Mailing Location
2025 P ST
SACRAMENTO
CA
958115213
Provider Mailing Phone/Fax
| Phone: | 9164464449 |
| Fax: | 9164469370 |