Individual
LACY KUESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
39 8TH ST, HERMOSA BEACH, CA 90254-4101
(310) 809-5567
Mailing address
39 8TH ST, HERMOSA BEACH, CA 90254-4101
(310) 809-5567
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
CA
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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