Individual
KAITLYN SUE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1501 S BEACH BLVD APT D403, LA HABRA, CA 90631-1160
(623) 466-2090
Mailing address
1501 S BEACH BLVD APT D403, LA HABRA, CA 90631-1160
(623) 466-2090
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
086091790
CA
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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