Individual
ASHLEY FORTENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
395 HICKEY BLVD, DALY CITY, CA 94015-2770
(650) 301-4454
Mailing address
669 2ND ST, RICHMOND, CA 94801-2605
(510) 692-7491
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86011098
CA
Other
Enumeration date
02/22/2014
Last updated
01/03/2022
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