Individual
KATHRYN ELIZABETH HENNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D.
Contact information
Practice address
3810 KATELLA AVE, LOS ALAMITOS, CA 90720-3302
(714) 334-2480
(714) 578-0043
Mailing address
123 S CORNELL AVE, FULLERTON, CA 92831-4521
(714) 334-2480
(714) 578-0043
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
00931156
CA
Other
Enumeration date
06/29/2011
Last updated
06/29/2011
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