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Individual

BROOKE ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4248 TRENT WAY, LOS ANGELES, CA 90065-5112
(310) 406-6652
Mailing address
4248 TRENT WAY, LOS ANGELES, CA 90065-5112

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
CA

Other

Enumeration date
12/14/2020
Last updated
12/14/2020
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