Individual
MS. JUDY LYNNE MCREYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
7300 N FRESNO ST, FRESNO, CA 93720-2941
(559) 448-4429
Mailing address
7300 N FRESNO ST, FRESNO, CA 93720-2941
(559) 448-4429
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
366151
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
366151
REGISTERED DIETITIAN
CA
Enumeration date
12/18/2006
Last updated
07/08/2007
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