Individual
MALLORY CALLAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4303 LA JOLLA VILLAGE DR STE 2110, SAN DIEGO, CA 92122-1396
(858) 657-8857
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86005489
CA
Other
Enumeration date
02/07/2022
Last updated
02/08/2022
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