Individual
ANDREW SCHOENWETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DTR
Contact information
Practice address
375 LAGUNA HONDA BLVD, LAGUNA HONDA HOSPITAL - NUTRITION SERVICES, SAN FRANCISCO, CA 94116-1411
(415) 759-3300
Mailing address
989 AILEEN ST, OAKLAND, CA 94608-2841
(510) 601-6702
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
00946654
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00946654
REGISTRATION NUMBER
CA
Enumeration date
04/24/2007
Last updated
07/08/2007
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