Individual
MARYELIZABETH OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1515 N VERMONT AVE, 4TH FLOOR, EDUCATION DEPT, LOS ANGELES, CA 90027-5337
(323) 702-3647
Mailing address
2065 CANYON CLOSE RD, PASADENA, CA 91107-1063
(323) 702-3647
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1012243
CA
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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