Individual
MS. MALIA MATTOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
172 HIGH ST, SAN LUIS OBISPO, CA 93401-5011
(805) 748-6068
Mailing address
172 HIGH ST, SAN LUIS OBISPO, CA 93401-5011
(805) 748-6068
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
CA
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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