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NPI Profile for KIERA A HENDERSON in SAN BERNARDINO, CA.
A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Meals |
174200000X | |||
Dietetic Technician, Registered |
136A00000X | |||
Dietitian, Registered |
133V00000X | 71 | Registered Dietitian or Nutrition Professional | |
Nutrition, Metabolic |
133VN1006X | 71 | Registered Dietitian or Nutrition Professional | |
Nutritionist |
133N00000X |
| NPI Number | 1831879907 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/24/2023 | |
| Last updated | 07/24/2023 - About 3 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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KIERA A HENDERSON
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KIERA A HENDERSON