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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GABRIELLA CHILDERS, RDN

Active Sole Proprietor

Sports Dietetics · SAN CLEMENTE, CA

Registration Details

NPI Number
1144096140
Provider Type
Individual
Gender
Female
NPI Issued
Nov 30, 2023 (2.392135330326 yrs)
Last Updated
Nov 30, 2023
License
86170472 (SC)
Sole Proprietor
Yes

Practice Information

Address
2945 CALLE GUADALAJARA
SAN CLEMENTE, CA, 926733041
Browse CA providers · Browse ZIP 92673
Phone
8649180222
Primary Specialty
Sports Dietetics
133VN1501X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.