Provider Demographics
NPI:1972059012
Name:CHEERA, EMILY (MS, RDN)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:CHEERA
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2928 JEFFERSON ST
Mailing Address - Street 2:STE 2D
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-2377
Mailing Address - Country:US
Mailing Address - Phone:858-314-9517
Mailing Address - Fax:
Practice Address - Street 1:2928 JEFFERSON ST
Practice Address - Street 2:STE 2D
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-2377
Practice Address - Country:US
Practice Address - Phone:858-314-9517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-29
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered