Reynosa, Brenda
Reynosa, Brenda is an sole proprietor health care provider with primary practice located at 7430 Stanford Ave , La Mesa CA 91942-9121. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Reynosa, Brenda can be contacted via phone (619) 460-6534.Contact Information
Primary practice address
7430 Stanford Ave
La Mesa CA 91942-9121
Phone: (619) 460-6534
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X |
Profile Details
| NPI number | 1932566437 |
|---|---|
| LBN Legal business name | Reynosa, Brenda |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 28th, 2016 |
| Last updated | Jan 28th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932566437 | NPPES |
| California | Other | 133V00000X | CMS |
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