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Individual

HOLLY WELLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RD

Contact information

Practice address
1450 SAN PABLO ST, LOS ANGELES, CA 90033-5331
(323) 865-7028
Mailing address
11002 HORTENSE ST, NORTH HOLLYWOOD, CA 91602-1718

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86087819

Other

Enumeration date
07/18/2022
Last updated
07/18/2022
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