Provider Demographics
NPI:1851994826
Name:ZABOY, KATRINA ANNE (MS, RD)
Entity Type:Individual
Prefix:
First Name:KATRINA
Middle Name:ANNE
Last Name:ZABOY
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:622 RIALTO DR
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95687-5467
Mailing Address - Country:US
Mailing Address - Phone:707-301-1628
Mailing Address - Fax:
Practice Address - Street 1:622 RIALTO DR
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95687-5467
Practice Address - Country:US
Practice Address - Phone:707-301-1628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered