Individual
KELLY PYWTORAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1330 LAS TABLAS RD, TEMPLETON, CA 93465-9758
(805) 542-6700
(805) 542-6791
Mailing address
2050 S BLOSSER RD, SANTA MARIA, CA 93458-7310
(805) 361-8030
(805) 361-8097
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
847899
CA
Other
Enumeration date
09/14/2018
Last updated
08/19/2021
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