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Individual

JENNIFER L LOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, CDE

Contact information

Practice address
1701 4TH ST STE 210, SANTA ROSA, CA 95404-3661
(707) 578-7530
(707) 578-7533
Mailing address
3536 MENDOCINO AVE, STE 200, SANTA ROSA, CA 95403-3634
(707) 525-6485
(707) 573-6918

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
10/24/2016
Last updated
11/01/2018
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