Individual
KEVIN CANALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CPT
Contact information
Practice address
6329 OSLER ST, SAN DIEGO, CA 92111-5409
(858) 776-6370
Mailing address
6329 OSLER ST, SAN DIEGO, CA 92111-5409
(858) 776-6370
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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