Individual
LAUREN FOLEY WENDEROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
111 SMITH RANCH RD, SAN RAFAEL, CA 94903-1939
(415) 491-3000
Mailing address
21 TAMAL VISTA BLVD, STE 208, CORTE MADERA, CA 94925-1130
(888) 945-6887
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
86009594
NM
Other
Enumeration date
01/27/2014
Last updated
02/15/2017
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