Individual
JENNIFER ILIANA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
1530 HILLHURST AVE, LOS ANGELES, CA 90027-5516
(323) 644-3888
Mailing address
10236 HAYVENHURST AVE, NORTH HILLS, CA 91343-1108
(818) 849-4928
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86087719
CA
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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