Individual
JENNIFER PAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501-4135
(951) 788-3426
Mailing address
2321 MAGNOLIA AVE, UNIT 8E, ONTARIO, CA 91762-6088
(909) 983-7303
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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