Individual
MARYELLEN WESTERBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1454 E 2ND ST, SAN BERNARDINO, CA 92408-0118
(909) 382-7180
(909) 382-7101
Mailing address
1454 E 2ND ST, SAN BERNARDINO, CA 92408-0118
(909) 382-7180
(909) 382-7101
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
726073
CA
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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