Individual
ANDREA BEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY NUMBER
—
01
—
09-30-1977
DATE OF BIRTH
—
Enumeration date
12/14/2006
Last updated
05/11/2026
Update your record
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