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JUNE GNASS RD

>> Dietitian, Registered >> Dietary & Nutritional Service Providers

Registrant NPI Number: 1457394728

Individual Registrant:
 JUNE  GNASS RD
Gender: F
Sole Proprietor

Location and contact information for practice:
1900 SYCAMORE LN  DURHAM, CA 95938-9744 US
Tel: 530-891-9357  Fax: 530-894-5252

Contact information for business:
1900 SYCAMORE LN  DURHAM, CA 95938-9744 US
Tel: 530-891-9357  Fax: 530-894-5252

Registration Information:
NPI: 1457394728
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
CA718809

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MEDICARE RAILROAD PTANP00327280CA01




HEALTH CARE JOBS CA - Page 1



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