| Justin Matthew Waller, RDN | |
|
500 E Foothill Blvd Apt 5, San Luis Obispo, CA 93405-1629 | |
| (916) 402-6914 | |
| Not Available |
| Full Name | Justin Matthew Waller |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered |
| Location | 500 E Foothill Blvd Apt 5, San Luis Obispo, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699499335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86119710 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Matthew Waller, RDN 500 E Foothill Blvd Apt 5, San Luis Obispo, CA 93405-1629 Ph: (916) 402-6914 | Justin Matthew Waller, RDN 500 E Foothill Blvd Apt 5, San Luis Obispo, CA 93405-1629 Ph: (916) 402-6914 |
Mrs. Elizabeth Parker, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1360 Laurel Ln Apt 8, San Luis Obispo, CA 93401 Phone: 805-801-1321 | |
Leah M Tanner, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 84 Santa Rosa St, Suite A, San Luis Obispo, CA 93405 Phone: 805-548-8585 Fax: 805-548-8589 | |
Samantha Lalush Nutrition Llc Dietitian Medicare: Medicare Enrolled Practice Location: 1022 Mill St, San Luis Obispo, CA 93401 Phone: 805-242-6417 Fax: 805-249-1915 | |
Mrs. Sandra Nickole Miller, RD,CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1911 Johnson Ave, San Luis Obispo, CA 93401 Phone: 805-542-6229 | |
Courtney Kay Kinder, MS, RDN, IFNCP Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1264 Higuera St Ste 102, San Luis Obispo, CA 93401 Phone: 805-439-4706 | |
Leslie Richards, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1318 Johnson Ave, San Luis Obispo, CA 93401 Phone: 805-541-2300 Fax: 805-541-2301 | |
Susan Ann Gollnick, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 253 Granada Dr, San Luis Obispo, CA 93401 Phone: 805-543-2244 Fax: 805-543-2224 |