Provider Demographics
NPI:1922415660
Name:TOVAR, BRITTANIE KRISTEN-MILLER (RD)
Entity type:Individual
Prefix:
First Name:BRITTANIE
Middle Name:KRISTEN-MILLER
Last Name:TOVAR
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 1:3100 DOUGLAS BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-3868
Mailing Address - Country:US
Mailing Address - Phone:916-774-8885
Mailing Address - Fax:916-774-8818
Practice Address - Street 1:1201 ALHAMBRA BLVD STE 410
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5243
Practice Address - Country:US
Practice Address - Phone:916-774-8885
Practice Address - Fax:916-774-8818
Is Sole Proprietor?:No
Enumeration Date:2014-07-15
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1100341133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered