Individual
AMANDA MONIQUE CORVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
12401 WASHINGTON BLVD, WHITTIER, CA 90602-1006
(562) 698-0811
Mailing address
12401 WASHINGTON BLVD, WHITTIER, CA 90602-1006
(562) 698-0811
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00956201
CA
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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