Individual
PHYLLIS TINDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1926 S PACIFIC COAST HWY STE 203, REDONDO BEACH, CA 90277-6145
(310) 210-8233
Mailing address
3151 S LELAND ST, SAN PEDRO, CA 90731-6139
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
000510
CA
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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