Provider Demographics
NPI:1285428383
Name:PALACIOS, YESENIA (RD)
Entity type:Individual
Prefix:
First Name:YESENIA
Middle Name:
Last Name:PALACIOS
Suffix:
Gender:
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:274 WILSHIRE AVE
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015-1036
Mailing Address - Country:US
Mailing Address - Phone:415-694-0293
Mailing Address - Fax:
Practice Address - Street 1:274 WILSHIRE AVE
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-1036
Practice Address - Country:US
Practice Address - Phone:415-694-0293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-05
Last Update Date:2025-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered