Berry, Gina Simone

Berry, Gina Simone is an sole proprietor health care provider with primary practice located at 425 Riesling St , Cloverdale CA 95425-3669. She recently has 4 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Pediatric. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Berry, Gina Simone can be contacted via phone (707) 536-1555.

Contact Information

Primary practice address
425 Riesling St Cloverdale CA 95425-3669
Phone: (707) 536-1555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 00954751
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X 00954751 California
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 00954751 California
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X 00954751 California

Profile Details

NPI number 1104197201
LBN Legal business name Berry, Gina Simone
Credentials MS, RD, CSP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2012
Last updated Jan 20th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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