Individual
GINA WIENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1121 MILLER CT, RIO DELL, CA 95562-1132
(707) 834-7114
Mailing address
1121 MILLER CT, RIO DELL, CA 95562-1132
(707) 834-7114
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
894252
CA
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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