Individual provider · NPI-1

Sari Bornstein

Dietitian, Registered · Santa Rosa, CA

NPI number1023784352
StatusActive
Last updated in NPPESDec 18, 2021

Details

NPI
1023784352
Entity type
Individual (NPI-1)
Name
Sari Bornstein
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 17, 2021
Certification date
Dec 18, 2021
Last updated
Dec 18, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered86020284CAYes

Practice location

401 Bicentennial Way
Santa Rosa, CA 95403-2149

Phone 707-393-3506

Mailing address

811 Pesado Calle
Santa Rosa, CA 95409-2908

Phone 707-849-6751

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