Individual
GEORGINA PARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1809 NATIONAL AVE, SAN DIEGO, CA 92113-2113
(619) 515-2428
Mailing address
1809 NATIONAL AVE, SAN DIEGO, CA 92113-2113
(619) 515-2428
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86009406
CA
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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