Individual
MS. KANISHA MONAE NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27925 ROCKWOOD AVE, MORENO VALLEY, CA 92555-5730
(951) 581-4818
(951) 485-9459
Mailing address
27925 ROCKWOOD AVE, MORENO VALLEY, CA 92555-5730
(951) 581-4818
(951) 485-9459
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
374J00000X
Doula
—
—
Other
Enumeration date
07/16/2015
Last updated
02/14/2022
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