Individual
SARAH LYNN DEPHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1003 DIAMOND AVE STE 201, SOUTH PASADENA, CA 91030-3185
(626) 354-5319
Mailing address
1003 DIAMOND AVE STE 201, SOUTH PASADENA, CA 91030-3185
(626) 354-5319
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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