Individual
MR. JAMES WILSON CHILDERS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
4101 TORRANCE BLVD, TORRANCE, CA 90503-4607
(310) 540-7676
Mailing address
19907 MILDRED AVE, TORRANCE, CA 90503-1123
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86036480
CA
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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