Provider Demographics
NPI:1366069775
Name:ESTRADA, WHITNEY NORMA LEAL (RD)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:NORMA LEAL
Last Name:ESTRADA
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 1:5071 ROUND HILL DR
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-8806
Mailing Address - Country:US
Mailing Address - Phone:757-597-3635
Mailing Address - Fax:
Practice Address - Street 1:5071 ROUND HILL DR
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-8806
Practice Address - Country:US
Practice Address - Phone:757-597-3635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-01
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered