Provider Demographics
NPI:1063472512
Name:OBRIEN, PATRICIA LYNN (REGISTERED DIETITIAN)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:LYNN
Last Name:OBRIEN
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Gender:F
Credentials:REGISTERED DIETITIAN
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Mailing Address - Street 1:2315 STOCKTON BLVD
Mailing Address - Street 2:UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER 0102
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817
Mailing Address - Country:US
Mailing Address - Phone:916-734-4742
Mailing Address - Fax:916-734-0635
Practice Address - Street 1:2315 STOCKTON BLVD
Practice Address - Street 2:UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER 0102
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817
Practice Address - Country:US
Practice Address - Phone:916-734-4742
Practice Address - Fax:916-734-0635
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-27
Last Update Date:2007-07-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered