Individual
ELIZABETH L CHANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NDTR
Contact information
Practice address
34800 BOB WILSON DRIVE NUTRITION CLINIC BLDG1/3RD FLOOR, SAN DIEGO, CA 92134-0001
(619) 532-7636
Mailing address
34800 BOB WILSON DRIVE NUTRITION CLINIC BLDG1/3RD FLOOR, SAN DIEGO, CA 92134-0001
(619) 532-7636
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
1023428
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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