Individual
DEBRA WILLHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, CDE
Contact information
Practice address
17296 SLOVER AVE, FONTANA, CA 92337-7585
(909) 609-3038
Mailing address
17296 SLOVER AVE, PALM COURT 1, FONTANA, CA 92337-7585
(909) 609-3038
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
866292
CA
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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