Individual
MS. CATHERINE MARIE CORNWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-2167
Mailing address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-8513
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
551263
CA
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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