Individual
KRISTEN LINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D.
Contact information
Practice address
5548 LAURETTA ST, SAN DIEGO, CA 92110-2423
(619) 770-9715
Mailing address
5548 LAURETTA ST, SAN DIEGO, CA 92110-2423
(619) 770-9715
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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