Individual
MAYUMI NAKAMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 361-6612
Mailing address
1881 SIERRA ALTA WAY, MONTEREY PARK, CA 91754-2216
(626) 673-8078
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
943993
CA
Other
Enumeration date
02/12/2013
Last updated
02/12/2013
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