Individual
MARISSA ANNE KENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
26461 CROWN VALLEY PKWY, SUITE 100, MISSION VIEJO, CA 92691-6377
(949) 378-1047
(949) 215-2486
Mailing address
12 VIA MAGNOLIA, RANCHO SANTA MARGARITA, CA 92688-1439
(949) 378-1047
(949) 215-2486
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
928627
CA
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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