Andrestaylor, Coralyn
Andrestaylor, Coralyn is an sole proprietor health care provider with primary practice located at 637 Lucas Ave , Los Angeles CA 90017-1997. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Andrestaylor, Coralyn can be contacted via phone (213) 977-2155.Contact Information
Primary practice address
637 Lucas Ave
Los Angeles CA 90017-1997
Phone: (213) 977-2155
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Education | 133NN1002X | California | |
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 689776 | California |
Profile Details
| NPI number | 1629498548 |
|---|---|
| LBN Legal business name | Andrestaylor, Coralyn |
| Credentials | RD, MPH, CHES |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2014 |
| Last updated | Apr 17th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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