Individual
MS. ELIZABETH LOUISE AMELIA QUINTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD
Contact information
Practice address
6046 CORNERSTONE CT W, SUITE 104, SAN DIEGO, CA 92121-4758
(619) 518-1928
Mailing address
836 W PENNSYLVANIA AVE, APT 104, SAN DIEGO, CA 92103-3849
(619) 518-1928
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
911569
CA
133NN1002X
Nutrition Education Nutritionist
911569
CA
133V00000X
Registered Dietitian
Primary
911569
CA
Other
Enumeration date
03/13/2015
Last updated
03/13/2015
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