Individual
ELIZA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1710 BARTON RD, LOMA LINDA, CA 92373-5304
(909) 307-4885
Mailing address
1710 BARTON RD, LOMA LINDA, CA 92373-5304
(909) 307-4885
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86209676
CA
Other
Enumeration date
02/06/2022
Last updated
07/22/2022
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