Moore, Gwendolyn

Moore, Gwendolyn is an sole proprietor health care provider with primary practice located at 7777 Milliken Ave Ste 360 #2, Rancho Cucamonga CA 91730-6782. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Moore, Gwendolyn can be contacted via phone (714) 552-3802.

Contact Information

Primary practice address
7777 Milliken Ave Ste 360 #2 Rancho Cucamonga CA 91730-6782
Phone: (714) 552-3802
Fax: (866) 704-4779
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 976489 California

Profile Details

NPI number 1144363037
LBN Legal business name Moore, Gwendolyn
Credentials MPH, RD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2007
Last updated Apr 20th, 2016 - about 10 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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