Individual
MRS. MARA DA LUZ BERNARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, CSO
Contact information
Practice address
415 W BENJAMIN HOLT DR STE B3, STOCKTON, CA 95207-3958
(209) 227-0722
(866) 862-8832
Mailing address
415 W BENJAMIN HOLT DR STE B3, STOCKTON, CA 95207-3958
(209) 227-0722
(866) 862-8832
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
86033078
CA
133VN1301X
Oncology Nutrition Registered Dietitian
Primary
86033078
CA
Other
Enumeration date
07/22/2021
Last updated
09/20/2023
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