Individual
MRS. KIMBERLY ANN CHAVARRIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.C
Contact information
Practice address
10601 CHURCH ST, STE# 105, RANCHO CUCAMONGA, CA 91730
(909) 989-7100
Mailing address
10601 CHURCH ST, STE# 105, RANCHO CUCAMONGA, CA 91730
(909) 989-7100
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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