Doctor Name: | NICOLE GILLES |
NPI Number: | 1952657785 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, CDE, CSR |
License Number: | 1034797 |
Business Practice Address: | 12523 Limonite Ave #440-163 Mira Loma, CA - 917523665 |
Business Phone Number: | 9514445588 |
Business Fax Number: | 8779918768 |
Mailing Address: | 12523 Limonite Ave # 440-163, MIRA LOMA |
State: | CA |
Postal Code: | 917523665 |
Phone Number: | 9514445588 |
Fax Number: | 8779918768 |
NPI Enumeration Date: | 07/30/2012 |
NPI Last Update Date: | 12/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1034797 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |