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Individual

MS. JOAN ELAINE GATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., M.P.H., R.D.

Contact information

Practice address
365 TESCONI CIR, SUITE B, SANTA ROSA, CA 95401-4617
(707) 575-6043
(707) 575-1060
Mailing address
365 TESCONI CIR, SUITE B, SANTA ROSA, CA 95401-4617
(707) 575-6043
(707) 575-1060

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
718810
CA

Other

Enumeration date
11/19/2009
Last updated
11/19/2009
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