Provider Demographics
NPI:1164120283
Name:GUERRERO, CHRISTIAN MICHELLE (RDN)
Entity Type:Individual
Prefix:
First Name:CHRISTIAN MICHELLE
Middle Name:
Last Name:GUERRERO
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10737 SAN DIEGO MISSION RD UNIT 101
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-2406
Mailing Address - Country:US
Mailing Address - Phone:619-713-8931
Mailing Address - Fax:
Practice Address - Street 1:29402 SPA HAVENS WAY
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92084
Practice Address - Country:US
Practice Address - Phone:760-477-2301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-17
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty