Gina Simone Berry, MS, RD, CSP

NPI #1104197201 in Cloverdale, California

Provider Information

NPI Number: 1104197201
Entity Type: Individual
Name: Gina Simone Berry, MS, RD, CSP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: MS, RD, CSP
Enumeration Date: Jan 20, 2012
Last Updated: Jan 20, 2012

Practice Location

Address: 425 RIESLING ST
City: Cloverdale
State: California
ZIP Code: 95425-3669
Phone: (707) 536-1555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X
Nutritionist - Nutrition, Education — Nutrition, Education	133NN1002X
Dietitian, Registered	133V00000X	Primary
Dietitian, Registered - Nutrition, Pediatric — Nutrition, Pediatric	133VN1004X

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