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MATTTHEW WAYNE CHOATE RDN
>> Dietitian, Registered >> Dietary & Nutritional Service ProvidersRegistrant NPI Number: 1235614876
Individual Registrant: MATTTHEW WAYNE CHOATE RDN
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
3299 E HILL ST STE 306 SIGNAL HILL, CA 90755-1231 US
Tel: 562-494-5219 Fax: --
Tel: 562-494-5219 Fax: --
Contact information for business:
3299 E HILL ST STE 306 SIGNAL HILL, CA 90755-1231 US
Tel: 562-494-5219 Fax: --
Tel: 562-494-5219 Fax: --
Registration Information:
NPI: 1235614876
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 133V00000X | Dietary & Nutritional Service Providers Dietitian, Registered | CA | 86027309 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
