Individual
JILL ALLYSON GAWNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDE
Contact information
Practice address
6600 BRIDGEPORT LN, BAKERSFIELD, CA 93309-0518
(661) 487-2417
Mailing address
6600 BRIDGEPORT LN, BAKERSFIELD, CA 93309-0518
(661) 487-2417
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
800456
CA
Other
Enumeration date
03/13/2007
Last updated
08/06/2009
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