Individual
GLYNNIS WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
25 OAK MANOR CT, CHICO, CA 95926-1779
(530) 828-5027
Mailing address
25 OAK MANOR CT, CHICO, CA 95926-1779
(530) 828-5027
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
86031353
CO
133V00000X
Registered Dietitian
Primary
86031353
—
Other
Enumeration date
03/06/2016
Last updated
08/08/2019
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