Individual
MS. ALLISON KATE GABUCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
4481 WAWONA ST, LOS ANGELES, CA 90065-5133
(323) 459-4191
Mailing address
4481 WAWONA ST, LOS ANGELES, CA 90065-5133
(323) 459-4191
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1001340
CA
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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