Individual
MRS. KELLEY GRESIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CEDRD
Contact information
Practice address
2660 TOWNSGATE RD STE 610, WESTLAKE VILLAGE, CA 91361-5709
(805) 285-2719
Mailing address
3390 DARBY ST UNIT 330, SIMI VALLEY, CA 93063-5301
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
CA
Other
Enumeration date
10/03/2020
Last updated
10/03/2020
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