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Individual

ILANA CELESTE RYAVEC-GORANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
488 MAIN ST STE 200B, MURPHYS, CA 95247-9384
(209) 559-2228
Mailing address
270 WYLDEWOOD DR, MURPHYS, CA 95247-9502
(209) 559-2228

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86112557
CA
225700000X
Massage Therapist
19258
CA

Other

Enumeration date
11/28/2018
Last updated
11/28/2018
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