Individual
MRS. KATHERINE MABAET SISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5601 DE SOTO AVE, WOODLAND HILLS, CA 91367-6701
(818) 719-4080
Mailing address
21812 SIMION LN, CANOGA PARK, CA 91304-4896
(818) 716-0277
(818) 716-0277
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
898061
CA
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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