Individual
HANNAH MARIE LOCKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RDN
Contact information
Practice address
11980 MOUNT VERNON AVE, GRAND TERRACE, CA 92313-5172
(951) 492-1877
Mailing address
12168 MOUNT VERNON AVE UNIT 65, GRAND TERRACE, CA 92313-5544
(951) 990-0146
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86115984
CA
Other
Enumeration date
10/31/2019
Last updated
08/13/2024
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