Individual
KATHRINA R SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPPD RDN CDM CLE
Contact information
Practice address
1470 N FAIR OAKS AVE, PASADENA, CA 91103-1801
(626) 798-9133
Mailing address
PO BOX 1343, SIMI VALLEY, CA 93062-1343
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
342566
CA
133NN1002X
Nutrition Education Nutritionist
86390390
CA
133V00000X
Registered Dietitian
Primary
86390390
CA
Other
Enumeration date
06/05/2026
Last updated
06/05/2026
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