| Patricia Ann Cotherman, RD | |
|
15630 18th Ave, Clearlake, CA 95422 | |
| (707) 994-6486 | |
| (707) 994-8731 |
| Full Name | Patricia Ann Cotherman |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 15630 18th Ave, Clearlake, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063445799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | R317017 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Ann Cotherman, RD Po Box 6710, Clearlake, CA 95422-6710 Ph: (707) 994-6486 | Patricia Ann Cotherman, RD 15630 18th Ave, Clearlake, CA 95422 Ph: (707) 994-6486 |
Helen Ann Sandager, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15630 18th Ave, Clearlake, CA 95422 Phone: 707-995-5741 Fax: 707-995-1408 | |
Matthew Jasun Lee, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15630 18th Ave, Clearlake, CA 95422 Phone: 707-995-5842 |