Individual
HALEY GOSTANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
782 MEDICAL CENTER DR E STE 301, CLOVIS, CA 93611-6892
(559) 387-2120
Mailing address
1778 N CARSON AVE, CLOVIS, CA 93619-7489
(559) 341-0723
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86052292
CA
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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