Provider Demographics
NPI:1255622403
Name:SNYDER, JANET LEE (RD)
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:LEE
Last Name:SNYDER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10666 N. TORREY PINES RD.
Mailing Address - Street 2:N107
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037
Mailing Address - Country:US
Mailing Address - Phone:858-554-3136
Mailing Address - Fax:858-554-3111
Practice Address - Street 1:10666 N. TORREY PINES RD.
Practice Address - Street 2:N107
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037
Practice Address - Country:US
Practice Address - Phone:858-554-3136
Practice Address - Fax:858-554-3111
Is Sole Proprietor?:No
Enumeration Date:2011-04-22
Last Update Date:2011-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA654009133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered