NPI 1225183510

Joann C Ahaneku, DTR

Practitioner Registered Dietetic Technician Sacramento, CA

Practice location

Address: 6600 Bruceville Rd, Sacramento, CA 95823-4671
Phone: (916) 688-6679
Mailing address: 381 Deer River Way, Sacramento, CA 95831-2455

Registered specialties

Registered Dietetic Technician Primary

Dietary & Nutritional Service Providers Taxonomy 136A00000X Licence 975715 (CA)

Other Dietetic Technician, Registered providers in California →

Registry record

NPI: 1225183510
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jan 2007
Record last updated: 8 Jul 2007

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.