Individual
MRS. AMY KRISTIN PAVLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
7901 FROST ST, SAN DIEGO, CA 92123-2701
(858) 939-3586
Mailing address
13764 PASEO BONITA, POWAY, CA 92064-5867
(858) 395-7594
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
923405
CA
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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