Provider Demographics
NPI:1952080400
Name:ESPINOSA NUNES, MARIA FERNANDA (RD)
Entity Type:Individual
Prefix:
First Name:MARIA FERNANDA
Middle Name:
Last Name:ESPINOSA NUNES
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:FERNANDA
Other - Middle Name:
Other - Last Name:NUNES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RD
Mailing Address - Street 1:1921 SAN PABLO AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-1305
Mailing Address - Country:US
Mailing Address - Phone:832-600-7430
Mailing Address - Fax:
Practice Address - Street 1:1921 SAN PABLO AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-1305
Practice Address - Country:US
Practice Address - Phone:832-600-7430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86147118133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered