Jeannie Wakamatsu, MPH, RD
Dietitian, Registered in Los Angeles, CA. Individual provider (NPI-1).
NPI number1013404136
StatusActive
Last updated in NPPESApr 13, 2018
Details
- NPI
- 1013404136
- Entity type
- Individual (NPI-1)
- Name
- Jeannie Wakamatsu
- Credential
- MPH, RD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 13, 2018
- Last updated
- Apr 13, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 889669 | CA | Yes |
Practice location
10312 Almayo Ave.Suite 6
Los Angeles, CA 90064
Phone 213-740-1728
Mailing address
10312 Almayo Ave.Suite 6
Los Angeles, CA 90064
Phone 213-740-1728
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