Individual
MS. MARIA DEL CARMEN BRAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
1915 HIGH ST, SELMA, CA 93662-3510
(559) 825-0850
Mailing address
1064 MILL ST, SELMA, CA 93662-4602
(559) 352-5242
(559) 891-7542
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
86021290
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86021290
REGISTERED DIETITIAN
CA
Enumeration date
01/28/2013
Last updated
12/04/2021
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