Individual
MRS. CANDACE ELAINE FONTENETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
10015 FULLBRIGHT AVE, CHATSWORTH, CA 91311-3934
(818) 720-7408
Mailing address
10015 FULLBRIGHT AVE, CHATSWORTH, CA 91311-3934
(818) 720-7408
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
12/05/2010
Last updated
12/05/2010
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