Individual
JEANNIE WAKAMATSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RD
Contact information
Practice address
10312 ALMAYO AVE., SUITE 6, LOS ANGELES, CA 90064
(213) 740-1728
Mailing address
10312 ALMAYO AVE., SUITE 6, LOS ANGELES, CA 90064
(213) 740-1728
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
889669
CA
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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