LAURA SUZANNE CAUDILL

SAN DIEGO, CA
NPI1265707814
Former NameLAURA SUZANNE BACON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: CA  1086382)
Enumeration Date2012-03-15
Last Update Date2013-09-25
Business Address
MS. LAURA SUZANNE CAUDILL R.D.
4647 ZION AVE
SAN DIEGO, CA 92120-2507
Phone number: 619-528-5302
Mailing Address
MS. LAURA SUZANNE CAUDILL R.D.
4647 ZION AVE
SAN DIEGO, CA 92120-2507
Phone number: 619-528-5302