Individual
KALEN WEHAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NDTR
Contact information
Practice address
406 CHINN ST, SANTA ROSA, CA 95404-4339
(707) 687-9187
Mailing address
159 CALIFORNIA AVE, SANTA ROSA, CA 95405-4665
(559) 776-9297
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
—
—
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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