Individual
BRENNA LAZAS HOWSEPIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1165 MONTGOMERY DRIVE, SANTA ROSA, CA 95405
(707) 867-6702
Mailing address
425 BOWERS PL, GRATON, CA 95444-9300
(707) 867-6702
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86112840
CA
Other
Enumeration date
07/21/2020
Last updated
12/27/2023
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