Individual
BETSY HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,CSR
Contact information
Practice address
3100 DOUGLAS BLVD, ROSEVILLE, CA 95661-3866
(916) 774-8885
(916) 774-8818
Mailing address
10470 OLD PLACERVILLE RD STE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
RD961602
CA
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
12/04/2017
Last updated
10/23/2019
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