Individual
KRYSTAL MARIE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
4000 N PEPPR AVE., COLTON, CA 92323
(909) 580-1000
Mailing address
828 MARYESS DR, SAN BERNARDINO, CA 92410-2739
(909) 645-1050
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86075008
CA
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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