Provider Demographics
NPI:1326606443
Name:DOBBAS, CORINNE (MS, RD)
Entity type:Individual
Prefix:
First Name:CORINNE
Middle Name:
Last Name:DOBBAS
Suffix:
Gender:
Credentials:MS, RD
Other - Prefix:
Other - First Name:CORINNE
Other - Middle Name:MICHELE DOBBAS
Other - Last Name:WOLK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RD
Mailing Address - Street 1:921 TRANSPORT WAY STE 2
Mailing Address - Street 2:
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94954-1462
Mailing Address - Country:US
Mailing Address - Phone:415-737-9981
Mailing Address - Fax:415-801-0198
Practice Address - Street 1:921 TRANSPORT WAY STE 2
Practice Address - Street 2:
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94954-1462
Practice Address - Country:US
Practice Address - Phone:415-737-9981
Practice Address - Fax:415-801-0198
Is Sole Proprietor?:No
Enumeration Date:2019-06-04
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1001085133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered