Provider Demographics
NPI:1760590566
Name:DIAS, CLAIRE TERESA (RD, CDE)
Entity Type:Individual
Prefix:MS
First Name:CLAIRE
Middle Name:TERESA
Last Name:DIAS
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 1:875 MCKELVY AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93611-6291
Mailing Address - Country:US
Mailing Address - Phone:559-246-0617
Mailing Address - Fax:
Practice Address - Street 1:7085 N CHESTNUT AVE STE 101
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720
Practice Address - Country:US
Practice Address - Phone:559-323-9236
Practice Address - Fax:559-323-0294
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA725227133V00000X, 133VN1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered