Individual
MISS TESSA SUE GAYNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CNSC
Contact information
Practice address
2825 J ST, 435, SACRAMENTO, CA 95816-4300
(916) 978-0300
(916) 978-0333
Mailing address
2825 J ST, 435, SACRAMENTO, CA 95816-4300
(916) 978-0300
(916) 978-0333
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
950327
CA
Other
Enumeration date
07/15/2009
Last updated
03/17/2014
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