Individual
ASHLEY SHIZU NAKAGAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
10 CANTERBURY CT, PETALUMA, CA 94954-4675
(707) 228-8698
Mailing address
10 CANTERBURY CT, PETALUMA, CA 94954-4675
(707) 228-8698
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86119206
CA
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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