Individual provider · Type 1 NPI
Kiera A. Henderson
Meals Provider · San Bernardino, CA
NPI number
1831879907
Active
Practice location
3025 N Golden Ave Apt 216
San Bernardino, CA 92404-2730
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutritionist | 133N00000X | None listed |
| Registered Dietitian | 133V00000X | None listed |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | None listed |
| Registered Dietetic Technician | 136A00000X | None listed |
| Meals Provider Primary | 174200000X | None listed |
Meals Provider: A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
About NPI 1831879907
Kiera A. Henderson's National Provider Identifier is 1831879907, issued on Jul 24, 2023. The primary taxonomy on file is Meals Provider (174200000X), and the practice location is in San Bernardino, CA. The record was last updated on Jul 24, 2023.