Individual
MR. LAFEYETTE CHARVUNTATE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
12245 ALONDRA BLVD APT 23, NORWALK, CA 90650-6788
(562) 337-2009
Mailing address
12245 ALONDRA BLVD APT 23, NORWALK, CA 90650-6788
(562) 337-2009
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
86277928
CA
133V00000X
Registered Dietitian
Primary
86277928
CA
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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