Provider Demographics
NPI:1265586226
Name:SITU, ESTHER QING (RD)
Entity type:Individual
Prefix:MISS
First Name:ESTHER QING
Middle Name:
Last Name:SITU
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 1:8200 OCEANVIEW TER APT 217
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94132-3271
Mailing Address - Country:US
Mailing Address - Phone:415-294-1857
Mailing Address - Fax:415-296-6406
Practice Address - Street 1:3340 WALNUT AVE STE 275
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-2215
Practice Address - Country:US
Practice Address - Phone:415-294-1857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA957931133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered