Stacy Marie Derosa, R.D. Valid NPI
Individual provider · Metabolic Nutrition Registered Dietitian · San Francisco, CA
- NPI
- 1992135933
- Type
- Individual (Type 1)
- Primary specialty
- Metabolic Nutrition Registered Dietitian (Dietitian, Registered)
- Specialty group
- Dietary & Nutritional Service Providers
- Taxonomy code
- 133VN1006X
- License number
- 1018194 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2013-11-12
- Last updated
- 2025-10-21
Practice location
355 17th Ave
San Francisco, CA 94121-2312
(631) 882-5300