Most Relevant Information
Provider Data
| NPI Number: | 1003584913 |
| Provider Name: | ASHLEY SHIZU NAKAGAWA MS, RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 86119206 |
Most Important Dates
| Enumeration Date: | 09/03/2021 |
| Last Updated: | 09/03/2021 |
Provider Practice Location
10 CANTERBURY CT
PETALUMA
CA
949544675
Practice Location Phone/Fax
| Phone: | 7072288698 |
| Fax: |
Provider Mailing Location
10 CANTERBURY CT
PETALUMA
CA
949544675
Provider Mailing Phone/Fax
| Phone: | 7072288698 |
| Fax: |