Individual
KRISTIN DEBEVITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5164 LONG BRANCH AVE, SAN DIEGO, CA 92107-2008
(619) 221-5964
Mailing address
5164 LONG BRANCH AVE, SAN DIEGO, CA 92107-2008
(619) 221-5964
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1028486
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1028486
COMMISION ON DIETETIC REGISTRATION
CA
Enumeration date
10/04/2017
Last updated
10/04/2017
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