Individual
MS. DONELLE H MESSIH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
52 N TU SU LN, BISHOP, CA 93514-8058
(760) 872-2622
(760) 873-7601
Mailing address
3561 RANCH VIEW LN, BISHOP, CA 93514-2132
(760) 872-4204
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
864322
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
864322
LICENSE
CA
Enumeration date
05/22/2007
Last updated
07/08/2007
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