Individual
MS. CARLY GAFFNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
85 NIELSON ST, WATSONVILLE, CA 95076-2485
(831) 726-4267
Mailing address
85 NIELSON ST, WATSONVILLE, CA 95076-2485
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86110275
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86110275
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
01/04/2022
Last updated
01/04/2022
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