Individual
KIMBERLY MARIE WYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RD
Contact information
Practice address
28910 CRAGS DR, AGOURA, CA 91301-2906
(310) 918-6640
Mailing address
28910 CRAGS DR, AGOURA, CA 91301-2906
(310) 918-6640
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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