Individual
MARY CHAMPENY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2465 18TH AVE, SACRAMENTO, CA 95820-2550
(760) 793-8256
Mailing address
2465 18TH AVE, SACRAMENTO, CA 95820-2550
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86290100
CA
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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