Individual
MS. LISA RUTH SASLOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSRD
Contact information
Practice address
855 4TH ST, PISMO BEACH, CA 93449-3100
(805) 773-0600
Mailing address
PO BOX 12308, SAN LUIS OBISPO, CA 93406-2308
(805) 305-0774
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
895151
CA
Other
Enumeration date
07/01/2005
Last updated
02/17/2011
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