Provider Demographics
NPI:1578737094
Name:BALTZ, JAMI E (RD, CNSD)
Entity Type:Individual
Prefix:
First Name:JAMI
Middle Name:E
Last Name:BALTZ
Suffix:
Gender:F
Credentials:RD, CNSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1635 JONES ST
Mailing Address - Street 2:APT. 35
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-2778
Mailing Address - Country:US
Mailing Address - Phone:415-871-6347
Mailing Address - Fax:
Practice Address - Street 1:1635 JONES ST
Practice Address - Street 2:APT. 35
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-2778
Practice Address - Country:US
Practice Address - Phone:415-871-6347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered