Individual
MS. DIANE ZEPALTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD
Contact information
Practice address
365B TESCONI CIR, SANTA ROSA, CA 95401-4617
(707) 575-6043
Mailing address
235 BURGUNDY RD, HEALDSBURG, CA 95448-9606
(910) 740-2383
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
837931
NC
Other
Enumeration date
12/19/2014
Last updated
12/19/2014
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