Individual
CORALYN ANDRESTAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, MPH, CHES
Contact information
Practice address
637 LUCAS AVE, LOS ANGELES, CA 90017-1997
(213) 977-2155
Mailing address
2254 MICHELTORENA ST, LOS ANGELES, CA 90039-3021
(323) 667-2642
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
CA
133V00000X
Registered Dietitian
Primary
689776
CA
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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