Individual
MRS. CAROLYN JEAN NATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
1820 SERRA WAY, PASO ROBLES, CA 93446-5426
(805) 226-2009
Mailing address
1820 SERRA WAY, PASO ROBLES, CA 93446-5426
(805) 226-2009
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
R388547 (RD)
CA
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
0952-0355
CA
Other
Enumeration date
06/15/2005
Last updated
10/21/2008
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