Individual
MS. DORA SEQUEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4540 CAMPUS DR, SUITE 115, NEWPORT BEACH, CA 92660-1815
(949) 874-3438
(866) 372-1190
Mailing address
50 WHITE SAGE, IRVINE, CA 92618-8803
(949) 387-0885
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
912967
CA
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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