Individual
KATHY DEMAGGIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2101 COURAGE DR, NUTRITION, MS 10-100, FAIRFIELD, CA 94533-6717
(707) 784-2216
Mailing address
3415 ELLEN WAY, NAPA, CA 94558-4251
(707) 224-1925
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
541159
CA
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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