Individual
MS. JESSICA ANNE RUTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
(707) 393-4787
Mailing address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
(707) 393-4787
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01001338
CA
Other
Enumeration date
02/06/2009
Last updated
02/06/2009
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