Individual
MARIAH CLAIRE WADE-HAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1712 N KINGSLEY DR APT 203, LOS ANGELES, CA 90027-3716
(805) 798-3425
Mailing address
1712 N KINGSLEY DR APT 203, LOS ANGELES, CA 90027-3716
(805) 798-3425
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86088532
CA
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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