Individual
ANDREW WOODWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, RD, CSO
Contact information
Practice address
8455 LODGEPOLE LN, RIVERSIDE, CA 92508-7105
(951) 203-3053
Mailing address
8455 LODGEPOLE LN, RIVERSIDE, CA 92508-7105
(951) 203-3053
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
707682
CA
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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