Individual
LANETTE E GLASS KITCHINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8313 BRIXHAM CT, ANTELOPE, CA 95843-4564
(352) 425-4782
Mailing address
8313 BRIXHAM CT, ANTELOPE, CA 95843-4564
(352) 425-4782
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
171400000X
Health & Wellness Coach
—
—
174400000X
Specialist
—
—
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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