Individual
JUDY BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNC
Contact information
Practice address
914 HYDE CT, COSTA MESA, CA 92626-6915
(171) 426-7655
Mailing address
914 HYDE CT, COSTA MESA, CA 92626-6915
(171) 426-7655
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
CA
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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