NPI 1609591213

Tonya Larson, RD

Practitioner Dietary Manager Riverside, CA

Practice location

Address: 4097 Trail Creek Rd, Riverside, CA 92505-5869
Phone: (909) 472-2107
Mailing address: 6211 Sierra Ave, Fontana, CA 92336-1216

Registered specialties

Dietary Manager Primary

Dietary & Nutritional Service Providers Taxonomy 132700000X Licence 86091431 (CA)

Other Dietary Manager providers in California →

Registry record

NPI: 1609591213
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Oct 2022
Record last updated: 5 Oct 2022

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.