SHELLY SUZANNE CAPITANICH

CORONADO, CA
NPI1942805692
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: CA  881054)
Enumeration Date2020-12-01
Last Update Date2020-12-01
Business Address
SHELLY SUZANNE CAPITANICH RD
562 I AVE
CORONADO, CA 92118-1627
Phone number: 619-370-0486
Mailing Address
SHELLY SUZANNE CAPITANICH RD
562 I AVE
CORONADO, CA 92118-1627
Phone number: 619-370-0486