Provider Demographics
NPI:1427235340
Name:GARAY, JENYL SARAH (RD)
Entity type:Individual
Prefix:MRS
First Name:JENYL
Middle Name:SARAH
Last Name:GARAY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:MS
Other - First Name:JENYL
Other - Middle Name:SARAH
Other - Last Name:BAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:800 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882-3420
Mailing Address - Country:US
Mailing Address - Phone:951-737-4343
Mailing Address - Fax:
Practice Address - Street 1:800 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92882-3420
Practice Address - Country:US
Practice Address - Phone:951-737-4343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-22
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered