Individual
MRS. AMANDA MARIE PATCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CD
Contact information
Practice address
9479 HAVEN AVE, RANCHO CUCAMONGA, CA 91730-5844
(909) 771-8023
Mailing address
9479 HAVEN AVE, RANCHO CUCAMONGA, CA 91730-5844
(909) 771-8023
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2440-29
WI
Other
Enumeration date
05/03/2012
Last updated
07/29/2014
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