TERESA ELLEN KISANUKI

REDDING, CA
NPI1508364274
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: CA  804167)
Enumeration Date2018-01-29
Last Update Date2018-01-29
Business Address
TERESA ELLEN KISANUKI
3400 KNIGHTON RD
REDDING, CA 96002-9657
Phone number: 530-224-3815
Mailing Address
TERESA ELLEN KISANUKI
3400 KNIGHTON RD
REDDING, CA 96002-9657
Phone number: 530-224-3815