Individual
KYLA BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
15239 MCCANN PL, LA MIRADA, CA 90638-1445
(512) 745-3637
Mailing address
15239 MCCANN PL, LA MIRADA, CA 90638-1445
(512) 745-3637
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86004362
CA
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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