Individual
ASHLAN S OBERHOLTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RD
Contact information
Practice address
555 E HARDY ST, INGLEWOOD, CA 90301-4011
(310) 695-4788
Mailing address
4600 VIA MARINA, APT 201, MARINA DEL REY, CA 90292-7257
(310) 306-0985
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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