Individual
KATHERYNNE MARJORI AGGABAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1321 S VINE AVE APT 79, FULLERTON, CA 92833-4244
(562) 732-3425
Mailing address
1321 S VINE AVE APT 79, FULLERTON, CA 92833-4244
(562) 732-3425
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86153892
CA
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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