Provider Demographics
NPI:1437440401
Name:WINSLOW, ROSEMARY LOUISE (RD)
Entity Type:Individual
Prefix:MISS
First Name:ROSEMARY
Middle Name:LOUISE
Last Name:WINSLOW
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 918
Mailing Address - Street 2:110 REDWOOD DRIVE
Mailing Address - City:WOODACRE
Mailing Address - State:CA
Mailing Address - Zip Code:94973-0918
Mailing Address - Country:US
Mailing Address - Phone:415-488-4278
Mailing Address - Fax:
Practice Address - Street 1:110 REDWOOD DRIVE
Practice Address - Street 2:
Practice Address - City:WOODACRE
Practice Address - State:CA
Practice Address - Zip Code:94973-0918
Practice Address - Country:US
Practice Address - Phone:415-488-4278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-26
Last Update Date:2011-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA977227133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered