Provider Demographics
NPI:1710476379
Name:SEREN, LINDA (FDNP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:SEREN
Suffix:
Gender:F
Credentials:FDNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 BANBURY WAY
Mailing Address - Street 2:
Mailing Address - City:BENICIA
Mailing Address - State:CA
Mailing Address - Zip Code:94510-1604
Mailing Address - Country:US
Mailing Address - Phone:707-580-1228
Mailing Address - Fax:
Practice Address - Street 1:133 BANBURY WAY
Practice Address - Street 2:
Practice Address - City:BENICIA
Practice Address - State:CA
Practice Address - Zip Code:94510-1604
Practice Address - Country:US
Practice Address - Phone:707-580-1228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-08
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education