Provider Demographics
NPI:1144085473
Name:MENDEZ FIGUEROA, VANESSA (MS, RDN)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:
Last Name:MENDEZ FIGUEROA
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3675 T ST APT 415
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-6673
Mailing Address - Country:US
Mailing Address - Phone:808-799-5074
Mailing Address - Fax:
Practice Address - Street 1:3675 T ST APT 415
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-6673
Practice Address - Country:US
Practice Address - Phone:808-799-5074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-15
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86314384133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered