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Individual

LAURA ZEA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
4106 SORRENTO VALLEY BLVD, SAN DIEGO, CA 92121-1407
(617) 315-5676
Mailing address
PO BOX 185, 12515 WOODSIDE AVE, LAKESIDE, CA 92040-9998

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary

Other

Enumeration date
05/27/2022
Last updated
07/21/2022
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