Individual
JOHNATHON SCOTT PRIMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
10418 VALLEY BLVD STE A, EL MONTE, CA 91731-3600
(626) 258-1600
Mailing address
11400 215TH ST APT 12, LAKEWOOD, CA 90715-2071
(719) 648-2821
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86294236
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86294236
COMMISSION OF DIETETICS REGISTERED
CA
Enumeration date
05/12/2022
Last updated
05/17/2022
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