Individual provider · NPI-1

Viridiana Hernandez, RD

Dietitian, Registered · Lombard, IL

NPI number1730907957
StatusActive
Last updated in NPPESSep 26, 2024

Details

NPI
1730907957
Entity type
Individual (NPI-1)
Name
Viridiana Hernandez
Credential
RD
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 26, 2024
Certification date
Sep 26, 2024
Last updated
Sep 26, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered164.008066ILYes

Practice location

21w549 North Ave Apt 131
Lombard, IL 60148-6801

Phone 630-808-5005

Mailing address

21w549 North Ave Apt 131
Lombard, IL 60148-6801

Phone 630-808-5005

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