IndividualActive
Syvannah Butler, NDTR
NPI 1841894599 · Registered Dietetic Technician · Loma Linda, CA
Provider details
- NPI number
- 1841894599
- Entity type
- Individual
- Primary specialty
- Registered Dietetic TechnicianDietary & Nutritional Service Providers
- Credential
- NDTR
- Sex
- Female
- Sole proprietor
- Yes
- License
- 86295788 (CA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
11234 Anderson St
Loma Linda, CA 92354-2804
Phone: (909) 558-4000
Approximate (ZIP-level) locationGet directions
Mailing address
11234 Anderson St
Loma Linda, CA 92354-2804
Registry dates
- Enumerated
- 2020-11-24
- Last updated
- 2022-01-03
- Certified
- 2022-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.