Sophia Brooke Daeseleer, RD

NPI #1336876945 in Moreno, California

Provider Information

NPI Number: 1336876945
Entity Type: Individual
Name: Sophia Brooke Daeseleer, RD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RD
Enumeration Date: Aug 3, 2022
Last Updated: Aug 4, 2022

Practice Location

Address: 27300 IRIS AVE
City: Moreno
State: California
ZIP Code: 91786
Phone: (951) 251-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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