Provider Demographics
NPI:1669439196
Name:ARSENAULT, JOANNE E (RD)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:E
Last Name:ARSENAULT
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 1:311 N COLLEGE ST
Mailing Address - Street 2:APT 36
Mailing Address - City:WOODLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95695-2780
Mailing Address - Country:US
Mailing Address - Phone:530-902-8395
Mailing Address - Fax:
Practice Address - Street 1:311 N COLLEGE ST
Practice Address - Street 2:APT 36
Practice Address - City:WOODLAND
Practice Address - State:CA
Practice Address - Zip Code:95695-2780
Practice Address - Country:US
Practice Address - Phone:530-902-8395
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT07296133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered