Individual provider · NPI-1

Janelle Marie Estournes, RD

Dietitian, Registered · Santa Rosa, CA

NPI number1184468266
StatusActive
Last updated in NPPESJun 24, 2024

Details

NPI
1184468266
Entity type
Individual (NPI-1)
Name
Ms. Janelle Marie Estournes
Credential
RD
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 24, 2024
Certification date
Jun 22, 2024
Last updated
Jun 24, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered1044417CAYes

Practice location

406 Chinn St
Santa Rosa, CA 95404-4339

Phone 707-285-7131

Mailing address

2938 Bennett Valley Rd
Santa Rosa, CA 95404-5714

Phone 707-285-7131

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