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NANCY AHL RD

>> Dietitian, Registered >> Dietary & Nutritional Service Providers

Registrant NPI Number: 1528571569

Individual Registrant:
 NANCY  AHL RD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2212 E 4TH ST STE 301  SANTA ANA, CA 92705-3873 US
Tel: 714-628-3242  Fax: --

Contact information for business:
2212 E 4TH ST STE 301  SANTA ANA, CA 92705-3873 US
Tel: 714-628-3242  Fax: --

Registration Information:
NPI: 1528571569
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
86038698

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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