Individual
DENISE CANELLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CNS
Contact information
Practice address
4000 BARRANCA PKWY, SUITE 250, IRVINE, CA 92604-4710
(949) 681-8261
Mailing address
4000 BARRANCA PKWY, SUITE 250, IRVINE, CA 92604-4710
(949) 681-8261
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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