Individual
LINDA ILLINGWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CSSD
Contact information
Practice address
7138 SHERBOURNE LN, SAN DIEGO, CA 92129-4660
(858) 703-7090
Mailing address
7138 SHERBOURNE LN, SAN DIEGO, CA 92129-4660
(858) 703-7090
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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