Individual
KAILY WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4647 ZION AVE, SAN DIEGO, CA 92120-2507
(833) 574-2273
Mailing address
1540 SWITZER CT, MODESTO, CA 95350-0553
(209) 402-2814
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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