Individual
GWEN ADAME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4521 CAMPUS DR # 184, IRVINE, CA 92612-2621
(714) 644-2000
Mailing address
4521 CAMPUS DR # 184, IRVINE, CA 92612-2621
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/04/2014
Last updated
02/24/2015
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