NPI 1801916358 · live from the CMS NPI Registry
Janine Ruth Glenn, RD,LD,CNSD
Dietitian, Registered in Loma Linda, CA. National Provider Identifier 1801916358, active.
NPI record
| NPI | 1801916358 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 11201 Benton St, Loma Linda, CA 92357 |
| Practice phone | 909-583-6043 |
| Mailing address | Po Box 391, Santa Teresa, NM 88008 |
| Enumerated | March 29, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | DT05747 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.