ELIZABETH ANN LAKE

SAN DIEGO, CA
NPI1427163872
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: CA  719632)
Enumeration Date2006-08-19
Last Update Date2007-07-08
Business Address
-- ELIZABETH ANN LAKE RD
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161-0002
Phone number: 858-552-8585
Mailing Address
-- ELIZABETH ANN LAKE RD
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161-0002
Phone number: 858-552-8585
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