Individual
FRED BEYERLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
10655 LEMON AVE, 2710, RANCHO CUCAMONGA, CA 91737-6956
(916) 873-2576
Mailing address
10655 LEMON AVE, 2710, RANCHO CUCAMONGA, CA 91737-6956
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
724388
CA
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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