Individual
AMANDA SPINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
435 H ST, CHULA VISTA, CA 91910-4307
(240) 422-4955
Mailing address
435 H ST, CHULA VISTA, CA 91910-4307
(240) 422-4955
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86017818
CA
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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