Individual
KAYLI SCANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(530) 391-1397
Mailing address
5100 GARFIELD AVE APT 19, SACRAMENTO, CA 95841-3833
(530) 391-1397
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86055642
CA
Other
Enumeration date
10/13/2019
Last updated
01/03/2022
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