Individual
DENISE ROLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHP, FDN
Contact information
Practice address
14895 DEL DIABLO LN, SAN DIEGO, CA 92129-1520
(858) 945-6199
Mailing address
14895 DEL DIABLO LN, SAN DIEGO, CA 92129-1520
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
2004003120
CA
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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