Individual
HEATHER MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDCES
Contact information
Practice address
122 E WASHINGTON BLVD, LOS ANGELES, CA 90015-3601
(213) 483-3600
Mailing address
5233 HUNTLEY ST UNIT 18, SIMI VALLEY, CA 93063-3768
(805) 390-7293
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1037008
CA
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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