Provider Demographics
NPI:1427310259
Name:FRANCO, MONA LISA (RD)
Entity type:Individual
Prefix:MRS
First Name:MONA LISA
Middle Name:
Last Name:FRANCO
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 1:3410 W ASHLAN AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93722-4440
Mailing Address - Country:US
Mailing Address - Phone:559-221-4800
Mailing Address - Fax:559-228-2036
Practice Address - Street 1:3410 W ASHLAN AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93722-4440
Practice Address - Country:US
Practice Address - Phone:559-221-4800
Practice Address - Fax:559-228-2036
Is Sole Proprietor?:No
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
871677133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered