Individual
DR. MICHELLE KULOVITZ ALENCAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, CCN
Contact information
Practice address
836 S AMBER LN, ANAHEIM, CA 92807-4826
(714) 809-8528
Mailing address
836 S AMBER LN, ANAHEIM, CA 92807-4826
(714) 809-8528
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
5057
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5057
CLINICAL NUTRITON CERTIFICATION BOARD
CA
Enumeration date
07/10/2015
Last updated
03/29/2016
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