Individual
MRS. KATHRYN EUNICE CHARBONNEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., CNSD
Contact information
Practice address
1 QUALITY DR, VACAVILLE, CA 95688-9494
(707) 624-1594
(707) 624-1591
Mailing address
1 QUALITY DR, VACAVILLE, CA 95688-9494
(707) 624-1594
(707) 624-1591
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00892871
CA
Other
Enumeration date
12/13/2006
Last updated
04/06/2012
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