Individual
MS. SHAMAL RAYAMMARAKKAR VEETIL THAJUDHEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.V.T, BDS, MPH
Contact information
Practice address
10620 TREENA ST STE 230, SAN DIEGO, CA 92131-1140
(619) 743-0947
Mailing address
10620 TREENA ST STE 230, SAN DIEGO, CA 92131-1140
(619) 743-0947
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
06/11/2019
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