Individual
ASHLEY AMELIA PAINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1250 W GLENOAKS BLVD STE E, GLENDALE, CA 91201-2281
(801) 691-2812
Mailing address
1250 W GLENOAKS BLVD STE E, GLENDALE, CA 91201-2281
(801) 691-2812
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86114107
COMMISSION OF DIETETIC REGISTRATION
—
Enumeration date
06/13/2020
Last updated
02/27/2023
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