Provider Demographics
NPI:1073313425
Name:MYERS, CEDRINA RAMONA (REGISTERED DIETITIAN)
Entity type:Individual
Prefix:
First Name:CEDRINA
Middle Name:RAMONA
Last Name:MYERS
Suffix:
Gender:
Credentials:REGISTERED DIETITIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24587 CANDLEBUSH CT
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92557-4130
Mailing Address - Country:US
Mailing Address - Phone:951-515-9927
Mailing Address - Fax:
Practice Address - Street 1:24587 CANDLEBUSH CT
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92557-4130
Practice Address - Country:US
Practice Address - Phone:951-515-9927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA838707133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered