Individual
KALINA GARDINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
150 PIONEER LN, BISHOP, CA 93514-2556
(760) 873-2021
Mailing address
199 EDWARDS ST, BISHOP, CA 93514-3303
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86243096
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86243096
COMMISSION ON DIETETICS REGISTRATION
—
Enumeration date
11/02/2021
Last updated
11/02/2021
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