Individual
GWENDOLYN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RD
Contact information
Practice address
7777 MILLIKEN AVE STE 360, #2, RANCHO CUCAMONGA, CA 91730-6782
(714) 552-3802
(866) 704-4779
Mailing address
393 WHITE CAP LN, NEWPORT COAST, CA 92657-1096
(714) 552-3802
(866) 704-4779
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
976489
CA
Other
Enumeration date
02/14/2007
Last updated
04/20/2016
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