Individual
MRS. CHARITA NICHOLE BUNDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
414 S VIRGIL AVE APT S221, LOS ANGELES, CA 90020-1419
(757) 323-1187
Mailing address
414 S VIRGIL AVE APT S221, LOS ANGELES, CA 90020-1419
(757) 323-1187
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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