Individual
GAJENDRAN RAMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S HUMAN NUTRITION
Contact information
Practice address
35 LEISURE PARK CIR, SANTA ROSA, CA 95401-5882
(707) 889-0918
Mailing address
35 LEISURE PARK CIR, SANTA ROSA, CA 95401-5882
(707) 889-0918
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
1055199
CA
133NN1002X
Nutrition Education Nutritionist
—
—
335G00000X
Medical Foods Supplier
—
—
Other
Enumeration date
04/15/2009
Last updated
12/26/2016
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