Individual provider · NPI-1

Sandra A Akrawi, Registered Dietitian

Dietitian, Registered · Santa Rosa, CA

NPI number1790821031
StatusActive
Last updated in NPPESSep 11, 2025

Details

NPI
1790821031
Entity type
Individual (NPI-1)
Name
Mrs. Sandra A Akrawi
Credential
Registered Dietitian
Sex
Female
Sole proprietor
No
Enumeration date
Jan 30, 2007
Last updated
Sep 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered721228CAYes
132700000X Dietary Manager721228CA

Practice location

401 Bicentennial Way
Santa Rosa, CA 95403-2149

Phone 707-571-3512

Mailing address

401 Bicentennial Way
Santa Rosa, CA 95403-2149

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