Individual
MS. JOANN C AHANEKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DTR
Contact information
Practice address
6600 BRUCEVILLE RD, SACRAMENTO, CA 95823-4671
(916) 688-6679
Mailing address
381 DEER RIVER WAY, SACRAMENTO, CA 95831-2455
(916) 421-3658
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
975715
CA
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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