Individual
ERICA JYL REYENGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3759 CENTRAL AVE, INDIANAPOLIS, IN 46205-3513
(260) 350-1464
Mailing address
3759 CENTRAL AVE, INDIANAPOLIS, IN 46205-3513
(260) 350-1464
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1018505
IN
Other
Enumeration date
12/12/2015
Last updated
12/12/2015
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