Ellen M Alonso Street

NPI Registration Record

Provider / OrganizationNPIDate Certified
ELLEN M ALONSO STREET17600990972023-08-12

Ellen M Alonso Street is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1760099097. Registration indicates Ellen M Alonso Street is a provider of services with a specialization in Dietary & Nutritional Service Providers, Dietitian, Registered (Dietitian, Registered, ) (All Other Specialties & Provider Types, ) (Dietitian, Registered, Dietary & Nutritional Service Providers)

Entity TypeIndividual
Provider NameMs. Ellen M Alonso Street MS, R.D.
Other Provider NameMs. Ellen M Street
Practice Office Address2628 INTERNATIONAL BLVD
Practice Office Telephone1052618219
Mailing Address2628 INTERNATIONAL BLVD
OAKLAND, CA 946011512 US
Business Telephone1052618219
Offices / Locations
AddressCity / StatePhone / Fax
2070 Clinton Ave Alameda, CA 945014397 5105223700
HPT Codes
License No
133V00000X PRIMARY
Dietary & Nutritional Service Providers
Dietitian, Registered
Dietitian, Registered

All Other Specialties & Provider Types

Dietitian, Registered
Dietary & Nutritional Service Providers
OPI Codes
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