Individual
KACIE RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CPT
Contact information
Practice address
14 EL DORADO LN, NEWPORT BEACH, CA 92660-6504
(949) 629-0020
Mailing address
14 EL DORADO LN, NEWPORT BEACH, CA 92660-6504
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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