Individual
CARLY AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
543 COUNTRY CLUB DR STE B516, SIMI VALLEY, CA 93065-0637
(805) 796-8436
Mailing address
543 COUNTRY CLUB DR STE B516, SIMI VALLEY, CA 93065-0637
(805) 796-8436
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86051182
CA
133V00000X
Registered Dietitian
86051182
TX
133V00000X
Registered Dietitian
DT86364
TX
Other
Enumeration date
10/12/2017
Last updated
02/08/2024
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