Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC 4551; LAC-829 | NC |
N | 111NN1001X | Nutrition | 33114 | CA |
NPI | 1588020499 |
---|---|
Provider Name | Dr. M Rhiannon Hutton |
First Address | Huntington Beach, CA 92648-6417 |
Second Address | Huntington Beach, CA 92648-6417 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2016 |
Last Update Date | 12/04/2018 |