Individual
JEANNINE Y MENGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
611 D ST APT C, MARYSVILLE, CA 95901-5539
(916) 798-6514
Mailing address
611 D ST APT C, MARYSVILLE, CA 95901-5539
(916) 798-6514
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86091305
CA
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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