Individual
OLUTOSIN KIRYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DTR, CLT
Contact information
Practice address
31654 RANCHO VIEJO RD STE G, SAN JUAN CAPISTRANO, CA 92675-2774
(949) 899-8361
Mailing address
PO BOX 2867, MISSION VIEJO, CA 92690-0867
(949) 614-6354
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
86143459
CA
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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