Individual
KELLIE GLASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1759 DUNE POINT WAY, DISCOVERY BAY, CA 94505-9356
(909) 831-4034
Mailing address
1759 DUNE POINT WAY, DISCOVERY BAY, CA 94505-9356
(909) 831-4034
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01043807
CA
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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