NPI 1689280810

Selena Alicia Garcia, DTR

Practitioner Registered Dietetic Technician Santa Rosa, CA

Practice location

Address: 1287 Fulton Rd, Santa Rosa, CA 95401-4923
Phone: (877) 717-0085
Mailing address: 2066 Mendocino Ave APT 59, Santa Rosa, CA 95401-3653

Registered specialties

Registered Dietetic Technician Primary

Dietary & Nutritional Service Providers Taxonomy 136A00000X Licence 86291702 (CA)

Other Dietetic Technician, Registered providers in California →

Registry record

NPI: 1689280810
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Sep 2020
Record last updated: 22 Sep 2020

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.