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MS. ELSA VICTORIA BERMUDEZ R.D.

>> Dietitian, Registered >> Dietary & Nutritional Service Providers

Registrant NPI Number: 1508161449

Individual Registrant:
MS. ELSA VICTORIA BERMUDEZ R.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
3102 E HIGHLAND AVE  PATTON, CA 92369-7813 US
Tel: 909-425-6273  Fax: 909-425-7069

Contact information for business:
4159 NEWPORT CT  SAN BERNARDINO, CA 92404-1436 US
Tel: 909-425-6273  Fax: 909-425-7069

Registration Information:
NPI: 1508161449
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
CA1037396

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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