Individual
MISS MEGAN M BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S., NUTRITIONIST
Contact information
Practice address
90 LOS VERDES DR, SAN LUIS OBISPO, CA 93401-7731
(559) 246-6377
Mailing address
90 LOS VERDES DR, SAN LUIS OBISPO, CA 93401-7731
(559) 246-6377
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLWG 77319A
PHYSICIAN REFERRAL
CA
Enumeration date
02/16/2010
Last updated
02/16/2010
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