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Individual

ANDY SKRYPKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CDE

Contact information

Practice address
365 TESCONI CIRCLE, SUITE B, SANTA ROSA, CA 95401
(707) 575-6043
(707) 575-1060
Mailing address
365 TESCONI CIRCLE, SUITE B, SANTA ROSA, CA 95401
(707) 575-6043
(707) 575-1060

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
707414
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
707414
REGISTERED DIETICIAN
CA
Enumeration date
04/16/2007
Last updated
12/16/2013
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