SIERRA MIRVIS

SAN DIEGO, CA
NPI1871028373
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence:   86045744)
Enumeration Date2017-04-22
Last Update Date2022-01-09
Business Address
SIERRA MIRVIS RD
3020 CHILDRENS WAY
SAN DIEGO, CA 92123-4223
Phone number: 619-955-0653
Mailing Address
SIERRA MIRVIS RD
5535 GALA AVE
SAN DIEGO, CA 92120-1807
Phone number: