Individual
MR. KYLE NICHOLAS CRAIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
5901 E 7TH ST, LONG BEACH, CA 90822-5201
(562) 826-8000
Mailing address
2176 SULLIVAN, IRVINE, CA 92614-5028
(702) 204-3679
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86051860
CA
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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