Individual
MARIANNA YAEL GONZALEZ CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
949 PALM AVE, IMPERIAL BEACH, CA 91932-1503
(619) 429-3733
Mailing address
949 PALM AVE, IMPERIAL BEACH, CA 91932-1503
(702) 556-2180
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86055587
CA
Other
Enumeration date
12/01/2017
Last updated
12/13/2021
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