Individual
MAY TOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.H., R.D.
Contact information
Practice address
29402 SPA HAVENS WAY, VISTA, CA 92084
(760) 842-6816
Mailing address
717 OAKTREE LN, #175, SAN MARCOS, CA 92069-6867
(909) 215-8932
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86048055
CA
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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