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Contact Information

GINA S BERRY, MS, RD, CSP
425 RIESLING ST
CLOVERDALE, CA95425-3669
 Phone: 707-536-1555
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Education

133NN1002X
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
 

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for GINA S BERRY · (Female)

NPI # 1104197201
Status Active
Credentials MS, RD, CSP
Entity Individual
Enumeration date 01/20/2012
Last updated 01/20/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • License # 00954751
  • CA License # 00954751
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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