Gina Simone Berry, MS, RD, CSP Valid NPI
Individual provider · Registered Dietitian · Cloverdale, CA
- NPI
- 1104197201
- Type
- Individual (Type 1)
- Primary specialty
- Registered Dietitian (Dietitian, Registered)
- Specialty group
- Dietary & Nutritional Service Providers
- Taxonomy code
- 133V00000X
- License number
- 00954751 (CA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2012-01-20
- Last updated
- 2012-01-20
Practice location
425 Riesling St
Cloverdale, CA 95425-3669
(707) 536-1555