Individual provider · NPI-1

Genevieve Ann Byrne

Dietitian, Registered · Santa Rosa, CA

NPI number1972664415
StatusActive
Last updated in NPPESJun 25, 2014

Details

NPI
1972664415
Entity type
Individual (NPI-1)
Name
Genevieve Ann Byrne
Sex
Female
Sole proprietor
No
Enumeration date
Dec 12, 2006
Last updated
Jun 25, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered––Yes

Practice location

625 5th St
Santa Rosa, CA 95404-4428

Phone 707-565-4557

Mailing address

625 5th St
Santa Rosa, CA 95404-4428

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