IndividualActive
Carol Habercoss
NPI 1043628910 · Dietary Manager · Oakland, CA
Provider details
- NPI number
- 1043628910
- Entity type
- Individual
- Primary specialty
- Dietary ManagerDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
6955 Foothill Blvd Ste 188
Oakland, CA 94605-2455
Phone: (510) 388-1768
Approximate (ZIP-level) locationGet directions
Mailing address
14360 Hemlock St
San Leandro, CA 94579-1134
Registry dates
- Enumerated
- 2014-07-23
- Last updated
- 2014-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.