Provider Demographics
NPI:1841525284
Name:HUEY, ELENA (RD)
Entity type:Individual
Prefix:MRS
First Name:ELENA
Middle Name:
Last Name:HUEY
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 1:1388 HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-3946
Mailing Address - Country:US
Mailing Address - Phone:510-302-0465
Mailing Address - Fax:510-302-0466
Practice Address - Street 1:1388 HARRISON ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-3946
Practice Address - Country:US
Practice Address - Phone:510-302-0465
Practice Address - Fax:510-302-0466
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-02
Last Update Date:2009-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered