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Renaldo Wilson
Nutrition Education Nutritionist in Los Angeles, California
NPI 1952834764

Renaldo Wilson is a Nutrition Education Nutritionist based in Los Angeles, CA and is specialized in Nutrition, Education. Renaldo Wilson practices in Los Angeles, CA. The NPI Number for Renaldo Wilson is 1952834764 and holds a License No. (California).

The current practice location address for Renaldo Wilson is 5105 W Goldleaf Cir, Los Angeles, CA and can be reached out via phone at 323-298-3328.

Location: 5105 W Goldleaf Cir, Los Angeles, CA, 90056-1269
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Provider Profile Details
NPI Number
1952834764
Provider Name
Renaldo Wilson
Credential
Provider Entity Type
Individual
Gender
Male
Address
5105 W Goldleaf Cir, Los Angeles, CA, 90056-1269
Phone Number
323-298-3328
Fax Number
Provider Enumeration Date
04/07/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1306928254 01 CA KAISER PERMANENTE
institution
Provider Business Practice Location Address Details
Address
5105 W Goldleaf Cir
City
State
Zip
90056-1269
Phone Number
323-298-3328
Fax Number
person
Provider Business Mailing Address Details
Address
5105 W Goldleaf Cir
City
State
Zip
90056-1269
Phone Number
323-298-3328
Fax Number
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Nutritionist
Speciality
Nutrition, Education
Taxonomy
License No.
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Definition
Definition to come...
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