Individual
MRS. ANNIE E MCRAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NC
Contact information
Practice address
5348 TOPANGA CANYON BLVD, SUITE 105, WOODLAND HILLS, CA 91364-1739
(310) 310-4889
Mailing address
5348 TOPANGA CANYON BLVD, SUITE 105, WOODLAND HILLS, CA 91364-1739
(310) 310-4889
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
ZZ
Other
Enumeration date
05/24/2011
Last updated
05/02/2013
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