Individual
AUTUMN BEAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ACN
Contact information
Practice address
1437 N LOS ROBLES AVE, PASADENA, CA 91104-2140
(626) 664-9719
Mailing address
1437 N LOS ROBLES AVE, PASADENA, CA 91104-2140
(626) 664-9719
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
08/11/2020
Last updated
08/27/2020
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