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Individual

JANINE SOUFFRONT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
4159 CAMINO REAL, LOS ANGELES, CA 90065-3961
(323) 226-1169
Mailing address
4159 CAMINO REAL, LOS ANGELES, CA 90065-3961
(323) 226-1169

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
12/01/2011
Last updated
12/01/2011
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