Mogannam, Cindy

Mogannam, Cindy is an individual health care provider with primary practice located at 101 Brookwood Ave , Santa Rosa CA 95404-5258. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Pediatric. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Mogannam, Cindy can be contacted via phone (707) 575-6043.

Contact Information

Primary practice address
101 Brookwood Ave Santa Rosa CA 95404-5258
Phone: (707) 575-6043
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X

Profile Details

NPI number 1699139360
LBN Legal business name Mogannam, Cindy
Credentials MPH, RD, CSP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2016
Last updated Apr 8th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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