Individual
LISA BLYTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CNSC
Contact information
Practice address
3961 LUNEMAN RD, PLACERVILLE, CA 95667-8758
(916) 949-8088
Mailing address
3961 LUNEMAN RD, PLACERVILLE, CA 95667-8758
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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