Search › California › 133V00000X
Justin Waller, RDN
NPI 1699499335 · on the registry since 2022 · sole proprietor
Practice
- Address
- 500 E Foothill Blvd Apt 5
San Luis Obispo, CA 93405 - Phone
- (916) 402-6914
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California