Individual
DEIDRE ANN MCGANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHA, RDN
Contact information
Practice address
40663 MURRIETA HOT SPRINGS RD STE C1, MURRIETA, CA 92562-9015
(951) 200-6791
(951) 200-6797
Mailing address
41349 CRESTA VERDE CT, TEMECULA, CA 92592-4403
(630) 430-4421
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
711904
CA
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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