Individual
JILLIAN MARCELLE REDGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11301 WILSHIRE BLVD, VA GREATER LOS ANGELES HEALTHCARE SYSTEM, N&FS (120), LOS ANGELES, CA 90073-1003
(562) 858-7932
Mailing address
11301 WILSHIRE BLVD, VA GREATER LOS ANGELES HEALTHCARE SYSTEM, N&FS (120), LOS ANGELES, CA 90073-1003
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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