Natalie Black, RD/RDN
Dietitian, Registered in Moreno Valley, CA. Individual provider (NPI-1).
NPI number1124612486
StatusActive
Last updated in NPPESFeb 26, 2021
Details
- NPI
- 1124612486
- Entity type
- Individual (NPI-1)
- Name
- Natalie Black
- Credential
- RD/RDN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 26, 2021
- Certification date
- Feb 25, 2021
- Last updated
- Feb 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86038133 | CA | Yes |
Practice location
26600 Cactus Ave Fl 1Moreno Valley, CA 92555-3901
Phone 951-486-4000
Mailing address
19847 Serrano RdApple Valley, CA 92307-2605
Phone 760-508-8439
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All 26 Registered Dietitian providers in Moreno Valley · All 3,435 providers in Moreno Valley
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