AUSTIN LIGHT

IRVINE, CA
NPI1396237905
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: NY  1105553)
Enumeration Date2018-05-31
Last Update Date2018-05-31
Business Address
-- AUSTIN LIGHT RDN
20 MODESTO
IRVINE, CA 92602-0930
Phone number: 714-469-1393
Mailing Address
-- AUSTIN LIGHT RDN
20 MODESTO
IRVINE, CA 92602-0930
Phone number: 714-469-1393