Individual
KATHLEEN B DIESTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
18300 YORBA LINDA BLVD, STE 204, YORBA LINDA, CA 92886-4052
(714) 577-6031
Mailing address
18200 YORBA LINDA BLVD, STE 401, YORBA LINDA, CA 92886-4056
(714) 986-3300
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
371109
CDR
CA
Enumeration date
05/17/2007
Last updated
07/03/2008
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