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Individual

MS. SUSAN LYNN MILLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MPH, RD, CHES

Contact information

Practice address
5718 RAVENSPUR DR UNIT 106, RANCHO PALOS VERDES, CA 90275-3536
(424) 254-6062
Mailing address
5718 RAVENSPUR DR UNIT 106, RANCHO PALOS VERDES, CA 90275-3536
(424) 254-6062

Taxonomy

Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
809951
CA
174H00000X
Health Educator
6918
CA

Other

Enumeration date
04/09/2015
Last updated
04/09/2015
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