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Individual

CHARLOTTE ELIZABETH ROBERTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9808 VENICE BLVD STE 603, CULVER CITY, CA 90232-6819
(310) 558-1836
Mailing address
9808 VENICE BLVD STE 603, CULVER CITY, CA 90232-6819
(310) 558-1836

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
R00313538
CA
133V00000X
Registered Dietitian
Primary
R00313538
CA
133VN1005X
Renal Nutrition Registered Dietitian
R00313538
CA
133VN1006X
Metabolic Nutrition Registered Dietitian
R00313538
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R00313538
REGISTERED DIETICIAN
CA
Enumeration date
02/05/2008
Last updated
02/05/2008
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