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Individual

PROF. DOROTHY C CHEN-MAYNARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, RD

Contact information

Practice address
4951 MARIPOSA DR, SAN BERNARDINO, CA 92404-1432
(909) 537-5340
(909) 537-7037
Mailing address
4951 MARIPOSA DRIVE, SAN BERNARDINO, CA 92404-1432
(909) 537-5340
(909) 537-7037

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
R591434
CA

Other

Enumeration date
08/01/2006
Last updated
07/08/2007
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