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1174763833
MILDRED K LEATHAM
LOS ANGELES, CA
NPI
1174763833
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NC 964557)
Enumeration Date
2009-02-20
Last Update Date
2009-02-20
Business Address
Ms. MILDRED K LEATHAM MPH, RD, CHES
4650 SUNSET BLVD. MS#115
LOS ANGELES, CA 90027
Phone number: 323-361-3815
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Mailing Address
Ms. MILDRED K LEATHAM MPH, RD, CHES
3250 WILSHIRE BOULVARD
LOS ANGELES, CA 90010
Phone number: 323-361-3815
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