Individual
BRYNA GAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CNS
Contact information
Practice address
1122 EL PASO DR, LOS ANGELES, CA 90065-4226
(424) 259-0993
Mailing address
1122 EL PASO DR, LOS ANGELES, CA 90065-4226
(424) 259-0993
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
CNS17412
CA
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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