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Individual

GINA SIMONE BERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RD, CSP

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
00954751
133NN1002X
Nutrition Education Nutritionist
00954751
CA
133V00000X
Registered Dietitian
Primary
00954751
CA
133VN1004X
Pediatric Nutrition Registered Dietitian
00954751
CA

Other

Enumeration date
01/20/2012
Last updated
01/20/2012
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