Individual
MRS. KRISTAN LEE PONTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
151 N SUNRISE AVE, STE 1205, ROSEVILLE, CA 95661-2932
(916) 624-3871
Mailing address
8890 GOLD BLOSSOM LN, NEWCASTLE, CA 95658-9457
(530) 888-8207
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
715415
CA
Other
Enumeration date
03/02/2007
Last updated
08/13/2018
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