Individual
KRISTI MARIE SUSCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1111 COLUMBUS ST STE 3000, BAKERSFIELD, CA 93305-1939
(661) 326-2000
Mailing address
42050 JENNY LN, LANCASTER, CA 93536-7325
(661) 916-9378
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86092423
CA
Other
Enumeration date
10/22/2020
Last updated
12/07/2020
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