Individual
MR. JOSIAH MICHAEL CUCKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
45 HIDDEN VALLEY RD, MONROVIA, CA 91016-1601
(970) 581-1206
Mailing address
45 HIDDEN VALLEY RD, MONROVIA, CA 91016-1601
(970) 581-1206
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86145628
CA
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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