Provider Demographics
NPI:1558812834
Name:GARLITOS, SUSAN (RDN, CNSC)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:
Last Name:GARLITOS
Suffix:
Gender:F
Credentials:RDN, CNSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 CLEAVES CT
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-4801
Mailing Address - Country:US
Mailing Address - Phone:408-320-1987
Mailing Address - Fax:
Practice Address - Street 1:219 CLEAVES CT
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126-4801
Practice Address - Country:US
Practice Address - Phone:408-320-1987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-20
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered