NPI 1023507282

Olutosin Kirya, DTRCLT

Practitioner Registered Dietetic Technician San Juan Capistrano, CA

Practice location

Address: 31654 Rancho Viejo Rd STE G, San Juan Capistrano, CA 92675-2774
Phone: (949) 899-8361
Mailing address: PO Box 2867, Mission Viejo, CA 92690-0867

Registered specialties

Registered Dietetic Technician Primary

Dietary & Nutritional Service Providers Taxonomy 136A00000X Licence 86143459 (CA)

Other Dietetic Technician, Registered providers in California →

Registry record

NPI: 1023507282
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 May 2018
Record last updated: 3 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.