Individual
MRS. CHARLYNE MARIE PACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
10135 JESMOND DR, ESCONDIDO, CA 92026-8615
(760) 294-7006
(760) 294-4145
Mailing address
10135 JESMOND DR, ESCONDIDO, CA 92026-8615
(760) 294-7006
(760) 294-4145
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
846878
CA
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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