Individual
MRS. ASHLEE K JENSON GOSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
3038 CYRUS AVE, SAN JOSE, CA 95124-2302
(408) 890-8190
Mailing address
3038 CYRUS AVE, SAN JOSE, CA 95124-2302
(408) 890-8190
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86025407
CA
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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