Provider Demographics
NPI:1649564758
Name:MACLEOD, JANICE (RD, CDE)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:
Last Name:MACLEOD
Suffix:
Gender:F
Credentials:RD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5494 ARROWHEAD CT
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94551-6953
Mailing Address - Country:US
Mailing Address - Phone:408-209-3982
Mailing Address - Fax:
Practice Address - Street 1:5494 ARROWHEAD CT
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94551-6953
Practice Address - Country:US
Practice Address - Phone:408-209-3982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-06
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered