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Individual

KRYSTYN PARKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
3440 E LA PALMA AVE, ANAHEIM, CA 92806-2020
(714) 644-6750
Mailing address
13211 MYFORD RD, 1332, TUSTIN, CA 92782-9153
(925) 699-4453

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1001216
CA

Other

Enumeration date
09/23/2013
Last updated
04/01/2014
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