Organization
GLUCOSAMIGOS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RITA HENG RUBIN RDN (PRESIDENT)
(909) 214-6301
Entity
Organization
Contact information
Practice address
1254 S WATERMAN AVE STE 28, SAN BERNARDINO, CA 92408-2857
(909) 763-2551
(866) 475-0054
Mailing address
1254 S WATERMAN AVE STE 28, SAN BERNARDINO, CA 92408-2857
(909) 763-2551
(866) 475-0054
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
09/20/2023
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