Individual
MS. ASHLEY GENZ-SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
4650 W SUNSET BLVD, MS #61, LOS ANGELES, CA 90027-6062
(323) 361-5916
Mailing address
4650 W SUNSET BLVD, MS #61, LOS ANGELES, CA 90027-6062
(323) 361-5916
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
86015713
CA
Other
Enumeration date
03/14/2017
Last updated
06/16/2018
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