Individual
MS. DANA K KETTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., C.D.E.
Contact information
Practice address
3883 AIRWAY DR, SANTA ROSA, CA 95403-1670
(707) 521-7735
Mailing address
3883 AIRWAY DR STE 202, SANTA ROSA, CA 95403-1671
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/04/2013
Last updated
10/04/2013
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