CRYSTAL LAILLA WALLSTROM

LOS ANGELES, CA
NPI1487969960
Former NameCRYSTAL MENDES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
Enumeration Date2010-08-09
Last Update Date2026-06-29
Business Address
CRYSTAL LAILLA WALLSTROM MS, RDN
752 PORTOLA TER
LOS ANGELES, CA 90042-5018
Phone number: 909-936-5088
Mailing Address
CRYSTAL LAILLA WALLSTROM MS, RDN
752 PORTOLA TER
LOS ANGELES, CA 90042-5018
Phone number: 909-936-5088