NPI 1134949530

Kalen Wehagen, NDTR

Practitioner Registered Dietetic Technician Santa Rosa, CA

Practice location

Address: 406 Chinn St, Santa Rosa, CA 95404-4339
Phone: (707) 687-9187
Mailing address: 159 California Ave, Santa Rosa, CA 95405-4665

Registered specialties

Registered Dietetic Technician Primary

Dietary & Nutritional Service Providers Taxonomy 136A00000X

Other Dietetic Technician, Registered providers in California →

Registry record

NPI: 1134949530
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Oct 2024
Record last updated: 11 Oct 2024

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.