Tessa Sue Gaynor, RD, CNSC
Dietitian, Registered, Nutrition, Pediatric in Sacramento, CA. Individual provider (NPI-1).
NPI number1962632604
StatusActive
Last updated in NPPESMar 17, 2014
Details
- NPI
- 1962632604
- Entity type
- Individual (NPI-1)
- Name
- Miss Tessa Sue Gaynor
- Credential
- RD, CNSC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 15, 2009
- Last updated
- Mar 17, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133VN1004X | Dietitian, Registered, Nutrition, Pediatric | 950327 | CA | Yes |
Practice location
2825 J St435
Sacramento, CA 95816-4300
Phone 916-978-0300 · Fax 916-978-0333
Mailing address
2825 J St435
Sacramento, CA 95816-4300
Phone 916-978-0300 · Fax 916-978-0333
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All 10 Pediatric Nutrition Registered Dietitian providers in Sacramento · All 37,780 providers in Sacramento
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