Amanda Marie Patch RD, CD

NPI 1700144227 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1700144227
Gender Female
Enumeration Date 05/03/2012
Last Updated 07/29/2014
Entity Type Individual
Active Over 4 years ago
Practice Location
9479 HAVEN AVE
RANCHO CUCAMONGA CA, 91730-5844, US
Phone (909) 771-8023
Fax
Business Location
9479 HAVEN AVE
RANCHO CUCAMONGA CA, 91730-5844, US
Phone (909) 771-8023
Fax
Toxanomy
Taxonomy Code 133V00000X
License State Wisconsin
License Number 2440-29
Remove 1700144227 NPI Number
 

According to our database, Mrs. Amanda Marie Patch RD, CD NPI is 1700144227, taxonomy code is 133V00000X and license number is 2440-29, license state is located at Wisconsin. Amanda Marie Patch RD, CD physically located at 9479 Haven Ave, Rancho Cucamonga CA, 91730-5844. NPI Number Amanda Marie Patch RD, CD has the Individual type.

Sponsored links

1700144227 NPI number is provided on an as is basis without warranty of any kind. 1700144227 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Marie Patch RD, CD are for informational purposes only.