Individual
MRS. SHARON KATHLEEN ETHEREDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD CDE
Contact information
Practice address
505 E PLAZA DRIVE, CHW MARIAN MEDICAL CENTER, SANTA MARIA, CA 93454
(805) 739-3791
(805) 614-2011
Mailing address
718 E SUNSET AVE, SANTA MARIA, CA 93454
(805) 349-3497
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
817145
CA
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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