Provider Demographics
NPI:1811922990
Name:JUNKER, MARGARET ANNE (MS, RD, CDE)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:ANNE
Last Name:JUNKER
Suffix:
Gender:F
Credentials:MS, RD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 21ST ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95814-5216
Mailing Address - Country:US
Mailing Address - Phone:916-914-6285
Mailing Address - Fax:916-325-1989
Practice Address - Street 1:1500 21ST ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95814-5216
Practice Address - Country:US
Practice Address - Phone:916-914-6285
Practice Address - Fax:916-325-1989
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
R.D.# 720273133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered