Individual
JUSTIN WHITTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD RDN
Contact information
Practice address
15503 VENTURA BLVD, ENCINO, CA 91436-3114
(424) 424-4055
Mailing address
475 COUNTY ROAD 395, SALTILLO, MS 38866-9118
(662) 401-2625
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-2688
MS
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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