Individual
MALORIE BOTARDO SWEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CEDS-S
Contact information
Practice address
1862 ORINDA CT, THOUSAND OAKS, CA 91362-1468
(786) 514-2038
Mailing address
1862 ORINDA CT, THOUSAND OAKS, CA 91362-1468
(786) 514-2038
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
133V00000X
Registered Dietitian
86007012
—
Other
Enumeration date
01/13/2012
Last updated
01/05/2022
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