Individual
LEONEL GRADILLO MANRIQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
4405 MENLO AVE APT 6, SAN DIEGO, CA 92115-4400
(619) 600-6784
Mailing address
4405 MENLO AVE APT 6, SAN DIEGO, CA 92115-4400
(619) 600-6784
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
CA
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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