Individual
SERENA SCIALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2405 CONROY AVE, CAMARILLO, CA 93012-8964
(310) 415-1446
Mailing address
2405 CONROY AVE, CAMARILLO, CA 93012-8964
(310) 415-1446
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
879449
CA
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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