Individual
KATELYNN GRACE SASAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
9336 FERNBURY ST, CYPRESS, CA 90630-2820
(714) 875-7072
Mailing address
9336 FERNBURY ST, CYPRESS, CA 90630-2820
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86103928
CA
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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