Individual
MISS KELLY CRISTEN VAN HILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
6861 VIA MEDIA, BUENA PARK, CA 90620-4118
(714) 296-0645
Mailing address
6861 VIA MEDIA, BUENA PARK, CA 90620-4118
(714) 296-0645
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1056593
CA
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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