Individual
TAMARA KENNERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4650 W SUNSET BLVD # 60, LOS ANGELES, CA 90027-6062
(323) 361-2037
(323) 361-8030
Mailing address
4650 SUNSET BLVD #60, LOS ANGELES, CA 90027
(323) 361-2037
(323) 361-8030
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
884906
CA
Other
Enumeration date
06/22/2017
Last updated
07/21/2022
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