Individual
CARRIE PICKINPAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3820 MARTIN LUTHER KING JR BLVD, LYNWOOD, CA 90262-3625
(310) 632-0415
Mailing address
3820 MARTIN LUTHER KING JR BLVD, LYNWOOD, CA 90262-3625
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86065001
CA
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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