Individual
BRENDA MARIE GOSHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
2722 BETH PL, SIMI VALLEY, CA 93065-1507
(805) 279-0005
Mailing address
2722 BETH PL, SIMI VALLEY, CA 93065-1507
(805) 279-0005
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
917239
CA
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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