Individual
MARIA GRU HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
28 WASHBURN ST, SIMI VALLEY, CA 93065-4055
(805) 338-0052
Mailing address
28 WASHBURN ST, SIMI VALLEY, CA 93065-4055
(805) 338-0052
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1082785
CA
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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