Individual
MARANDA REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5050 PALO VERDE ST STE 126, MONTCLAIR, CA 91763-2334
(909) 801-6989
Mailing address
13056 FALCON PL, CHINO, CA 91710-3804
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86300155
CA
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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