Individual
JUNNA BELLE ISLA VALLARTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1052 DE MATTEI CT, SAN JOSE, CA 95112-1602
(408) 314-0592
Mailing address
1052 DE MATTEI CT, SAN JOSE, CA 95112-1602
(408) 314-0592
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86152031
CA
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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