Individual
MAKENNA BARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1507 20TH ST, SANTA MONICA, CA 90404-3472
(415) 812-3061
Mailing address
1511 E MAPLE AVE UNIT A, EL SEGUNDO, CA 90245-3304
(415) 812-3061
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86069732
CA
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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