Mrs Antonia Gennock, MS, RD | |
2811 W California Ave, Fresno, CA 93706-2306 | |
(559) 493-4544 | |
Not Available |
Full Name | Mrs Antonia Gennock |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 15 Years |
Location | 2811 W California Ave, Fresno, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255857678 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 1091076 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Department Of Veterans Affairs Of The State Of California | 6507099520 | 10 |
Provider Name | Department Of Veterans Affairs Of The State Of California |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396165353 PECOS PAC ID: 6507099520 Enrollment ID: O20150818004043 |
Mailing Address | Practice Location Address |
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Mrs Antonia Gennock, MS, RD 880 E Salem Ave, Fresno, CA 93720-2128 Ph: () - | Mrs Antonia Gennock, MS, RD 2811 W California Ave, Fresno, CA 93706-2306 Ph: (559) 493-4544 |
Tenley A Griffin, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 980 E Richmond Ave, Fresno, CA 93720 Phone: 559-593-0789 | |
Mrs. Doreen Kimiyo Diaz, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 215 N Fresno Street, Suite 370, Fresno, CA 93701 Phone: 559-459-4543 Fax: 559-459-1524 | |
Nickolas James Dicks, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1649 Van Ness Ave, Fresno, CA 93721 Phone: 888-530-4415 | |
Kathryn Vietti, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8525 N Cedar Ave, Fresno, CA 93720 Phone: 559-440-9200 | |
Mrs. Chao-yun Chen, MS, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2615 E Clinton Ave, Dept Of Nutrition And Food Service, Vacchcs, Fresno, CA 93703 Phone: 559-225-6100 Fax: 559-241-6483 | |
Mrs. Teryn Cook Buchanan, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5305 N Fresno St Ste 103, Fresno, CA 93710 Phone: 559-824-8475 | |
Mrs. Melinda Susan Bush, RD, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 290 N Wayte Ln, Fresno, CA 93701 Phone: 559-459-2739 |