Individual
KRISTIEN ELYSE GENTILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
2512 MONTANA AVE, SANTA MONICA, CA 90403-2147
(310) 849-3109
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
957101
CA
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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