Individual
LAURA FULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1639 ROWLAND AVE, CAMARILLO, CA 93010-3154
(805) 484-1193
Mailing address
1639 ROWLAND AVE, CAMARILLO, CA 93010-3154
(805) 484-1193
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
661402
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
661402
CERTIFICATION
CA
Enumeration date
09/09/2009
Last updated
09/09/2009
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