NPI 1033463260

Mary McDonell, RDRN

Practitioner Registered Dietitian Santa Rosa, CA

Practice location

Address: 365 Tesconi Cir STE B, Santa Rosa, CA 95401-4617
Phone: (707) 575-6043
Mailing address: 459 Ragle Rd, Sebastopol, CA 95472-3131

Registered specialties (2)

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 709757 (CA)

Other Dietitian, Registered providers in California →

Diabetes Educator Registered Nurse

Nursing Service Providers Taxonomy 163WD0400X Licence 499778 (CA)

Other Registered Nurse providers in California →

Registry record

NPI: 1033463260
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Nov 2012
Record last updated: 9 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.