Whalio Doctors

NPI 1063090520

Lorie Brendecke, RDN

Practitioner Registered Dietitian Riverside, CA

Practice location

Address
922 Basilone Dr, Riverside, CA 92506-4900
Phone
(951) 776-7403

Registered specialties

Registered Dietitian Primary
Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 1099838 (CA)

Registry record

NPI
1063090520
Entity type
Individual
Sex (as registered)
Female
NPI issued
29 Mar 2021
Record last updated
29 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.