Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KRISTAN LEE PONTILLO, R.D.
Active Sole ProprietorMRS. KRISTAN LEE PONTILLO, R.D. is a Renal Nutrition healthcare provider located in ROSEVILLE, California. NPI 1548399074 is currently active in the NPPES registry. Verify at CMS.
Renal Nutrition · ROSEVILLE, CA
Registration Details
- NPI Number
- 1548399074
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 2, 2007 (19.488772580142 yrs)
- Last Updated
- Aug 13, 2018
- License
-
715415 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
151 N SUNRISE AVESTE 1205ROSEVILLE, CA, 956612932Browse CA providers · Browse ZIP 95661
- Phone
- 9166243871
- Primary Specialty
-
Renal Nutrition
133VN1005X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.