Doctor Name: | ANNA RATHBUN |
NPI Number: | 1710129598 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CN |
License Number: | |
Business Practice Address: | 45015 Ukiah Street Mendocino, CA - 95460 |
Business Phone Number: | 7079370476 |
Business Fax Number: | |
Mailing Address: | 6781 Road 19, LITTLE RIVER |
State: | CA |
Postal Code: | 95456 |
Phone Number: | 7079370476 |
Fax Number: | 7079370476 |
NPI Enumeration Date: | 03/25/2009 |
NPI Last Update Date: | 03/25/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133NN1002X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Nutritionist |
Taxonomy Specialization: | Nutrition, Education |
Taxonomy Definition: |