Individual
MR. RYAN ALI EHTESSABIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., CNS
Contact information
Practice address
2725 VIA VICTORIA, PALOS VERDES ESTATES, CA 90274-4475
(310) 293-0036
Mailing address
31234 PALOS VERDES DR W, #2, RANCHO PALOS VERDES, CA 90275-5361
(310) 293-0036
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
CNS #16139
CA
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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