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Individual

MS. KELLY ISSOKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-4100
(310) 423-0146
Mailing address
3425 BUCKINGHAM RD, LOS ANGELES, CA 90016-4120
(469) 682-4103

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
983344
CA

Other

Enumeration date
01/31/2023
Last updated
01/31/2023
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