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Individual

AMANDA MARIE ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RDN

Contact information

Practice address
4650 W SUNSET BLVD # MS 76, LOS ANGELES, CA 90027-6062
(323) 361-2113
Mailing address
1653 E MAPLE AVE APT 4, EL SEGUNDO, CA 90245-3321
(310) 488-2051

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
133VN1004X
Pediatric Nutrition Registered Dietitian

Other

Enumeration date
10/31/2022
Last updated
10/31/2022
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