Individual
AMY ORNELAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
311 LAUREL ST, SAN DIEGO, CA 92101-1630
(619) 871-6633
Mailing address
311 LAUREL ST, SAN DIEGO, CA 92101-1630
(619) 871-6633
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
957465
CA
Other
Enumeration date
05/25/2010
Last updated
05/25/2010
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