Individual ProviderWendy Anne HermesDietitian, RegisteredDietary & Nutritional Service ProvidersPractice Address10535 Hospital Way, Bldg 727, Rm 215, Sacramento, CA 95655(916) 843-7165(707) 330-9938PECOS EnrollmentBased on the most recent information from CMS, provider Wendy Anne Hermes does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1255998399Provider TypeIndividualFull NameHermes, Wendy AnneCredentialMSRDGenderFemaleSole ProprietorYesEnumeration Date5/23/2019Last Updated5/23/2019Contact InformationPractice LocationPractice Address10535 Hospital Way, Bldg 727, Rm 215, Sacramento, CA 95655Phone(916) 843-7165FaxUnlisted FaxMailing LocationMailing Address2511 Northrop Ave Apt 54, Sacramento, CA 95825-4860Phone(707) 330-9938FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode133V00000XPrimaryDescriptionDietitian, RegisteredDietary & Nutritional Service ProvidersLicense86043739CaliforniaCode133VN1005XDescriptionDietitian, RegisteredDietary & Nutritional Service ProvidersLicense86043739California