Individual
ANDREA MICHELLE KENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5305 CASS ST, SAN DIEGO, CA 92109-1207
(949) 280-6126
Mailing address
5305 CASS ST, SAN DIEGO, CA 92109-1207
(949) 280-6126
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86023311
CA
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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