Individual
KELLY BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65 ESPLANADE, IRVINE, CA 92612-1711
(949) 291-1169
Mailing address
65 ESPLANADE, IRVINE, CA 92612-1711
(949) 291-1169
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1053064
CA
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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