Individual
MRS. CYNTHIA EDICK GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
99621 SIERRA AVE, FONTANA, CA 92335
(909) 427-6109
Mailing address
11711 COLLETT AVE APT 2622, RIVERSIDE, CA 92505-3791
(661) 755-5934
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
930210
CA
Other
Enumeration date
04/09/2007
Last updated
12/17/2007
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