CARLY AUSTIN

SIMI VALLEY, CA
NPI1922519321
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: CA  86051182)
Additional Taxonomies133V00000X Dietitian, Registered
(Licence: TX  86051182)
133V00000X Dietitian, Registered
(Licence: TX  DT86364)
Enumeration Date2017-10-12
Last Update Date2024-02-08
Business Address
CARLY AUSTIN RD, LD
543 COUNTRY CLUB DR STE B516
SIMI VALLEY, CA 93065-0637
Phone number: 805-796-8436
Mailing Address
CARLY AUSTIN RD, LD
543 COUNTRY CLUB DR STE B516
SIMI VALLEY, CA 93065-0637
Phone number: 805-796-8436