Individual
KRISTINA HALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1930 OCEAN AVE APT 116, SANTA MONICA, CA 90405-1040
(504) 281-0593
Mailing address
1930 OCEAN AVE APT 116, SANTA MONICA, CA 90405-1040
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86068199
CA
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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