Individual
ANNIQUE CORNEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
9479 HAVEN AVE, RANCHO CUCAMONGA, CA 91730-5844
(909) 771-8023
Mailing address
9479 HAVEN AVE, RANCHO CUCAMONGA, CA 91730-5844
(909) 771-8023
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
CA
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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