Healthcare Provider Details

I. General information

NPI: 1366416703
Provider Name (Legal Business Name): DEBRA SNYDER REES RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2006
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 MUIR RD
MARTINEZ CA
94553-4668
US

IV. Provider business mailing address

1512 MARIPOSA WAY
FAIRFIELD CA
94533-9735
US

V. Phone/Fax

Practice location:
  • Phone: 707-437-1982
  • Fax: 707-437-1976
Mailing address:
  • Phone: 707-437-1982
  • Fax: 707-437-1976

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberR441212
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: