Most Relevant Information
Provider Data
| NPI Number: | 1003077603 |
| Provider Name: | REBECCA ELIZABETH PORTHOUSE R.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 01020916 |
Most Important Dates
| Enumeration Date: | 06/17/2008 |
| Last Updated: | 06/17/2008 |
Provider Practice Location
555 E WASHINGTON AVE
APT 1106
SUNNYVALE
CA
940862125
Practice Location Phone/Fax
| Phone: | 4083269403 |
| Fax: |
Provider Mailing Location
555 E WASHINGTON AVE
APT 1106
SUNNYVALE
CA
940862125
Provider Mailing Phone/Fax
| Phone: | 4083269403 |
| Fax: |