NPI 1609282573

Jessica Woodruff, RD

Practitioner Dietary Manager La Canada, CA

Practice location

Address: 4929 Oakwood Ave, La Canada, CA 91011-2543
Phone: (818) 631-4298

Registered specialties

Dietary Manager Primary

Dietary & Nutritional Service Providers Taxonomy 132700000X Licence 1005942 (CA)

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Registry record

NPI: 1609282573
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jul 2014
Record last updated: 10 Jul 2014

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.