Individual
AMY HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.N.
Contact information
Practice address
26456 AMBIA, MISSION VIEJO, CA 92692-3331
(949) 599-6781
Mailing address
26456 AMBIA, MISSION VIEJO, CA 92692-3331
(949) 599-6781
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
851825
CA
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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