Healthcare Provider Details

I. General information

NPI: 1194861450
Provider Name (Legal Business Name): JOYCE GIAMMATTEI DRPH, RD, CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 07/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 W NAPA ST STE F
SONOMA CA
95476-6545
US

IV. Provider business mailing address

430 W NAPA ST STE F
SONOMA CA
95476-6545
US

V. Phone/Fax

Practice location:
  • Phone: 707-939-6070
  • Fax:
Mailing address:
  • Phone: 707-939-6070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License Number818435
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: