Individual
KELLY SCANLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1773 BLUEWOOD CT, CONCORD, CA 94521-2108
(925) 787-2481
Mailing address
1773 BLUEWOOD CT, CONCORD, CA 94521-2108
(925) 787-2481
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
993493
CA
Other
Enumeration date
12/07/2012
Last updated
12/07/2012
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