Individual
JUDITH BOCCANFUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2301 CIRCADIAN WAY STE A, SANTA ROSA, CA 95407-5457
(707) 526-2027
(707) 526-2096
Mailing address
2301 CIRCADIAN WAY STE A, SANTA ROSA, CA 95407-5457
(707) 526-2027
(707) 526-2096
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
376854
CA
Other
Enumeration date
09/08/2017
Last updated
09/06/2023
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