Most Relevant Information
Provider Data
| NPI Number: | 1003823238 |
| Provider Name: | STEPHANIE BOUQUET M.S., R.D., C.D.E. |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | RD727246 |
Most Important Dates
| Enumeration Date: | 08/01/2006 |
| Last Updated: | 07/19/2012 |
Provider Practice Location
110 JOHN ST
SALINAS
CA
939013321
Practice Location Phone/Fax
| Phone: | 8318099725 |
| Fax: |
Provider Mailing Location
18420 WILDROSE CT
SALINAS
CA
939081542
Provider Mailing Phone/Fax
| Phone: | 8318099725 |
| Fax: |