Individual
JODY LEE NEVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
15152 MAUNA LOA ST, HESPERIA, CA 92345-2523
(760) 956-8093
(760) 956-8093
Mailing address
15152 MAUNA LOA ST, HESPERIA, CA 92345-2523
(760) 956-8093
(760) 956-8093
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
R852758
CA
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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