Individual
MISS KELLY MARIE GAFNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4640 ADMIRALTY WAY STE 901, MARINA DEL REY, CA 90292-6621
(310) 577-5540
Mailing address
PO BOX 54679, LOS ANGELES, CA 90054-0679
(310) 577-5540
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
940452
CA
Other
Enumeration date
03/21/2007
Last updated
06/23/2020
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