Provider Demographics
NPI:1881845089
Name:FRENCH-GLORIA, DEANNA RAE (RD)
Entity Type:Individual
Prefix:MRS
First Name:DEANNA
Middle Name:RAE
Last Name:FRENCH-GLORIA
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:DEANNA
Other - Middle Name:RAE
Other - Last Name:FRENCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:1901 ORLEANS WAY
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95355-8706
Mailing Address - Country:US
Mailing Address - Phone:209-324-7893
Mailing Address - Fax:209-324-7893
Practice Address - Street 1:4601 DALE RD
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95356-9718
Practice Address - Country:US
Practice Address - Phone:209-324-7893
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-07
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA871128133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered