Individual
MS. ANTONIA KNUDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1925 E DAKOTA AVE, FRESNO, CA 93726-4821
(559) 459-1672
(559) 459-1058
Mailing address
727 E FREMONT AVE, FRESNO, FRESNO, CA 93710-3940
(559) 459-1672
(559) 459-1058
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
634558
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ26959Z
PPIN
—
Enumeration date
10/26/2006
Last updated
07/08/2007
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