Individual provider · Type 1 NPI

Justin Matthew Waller, RDN

Registered Dietitian · San Luis Obispo, CA

NPI number 1699499335 Active

Practice location

500 E Foothill Blvd Apt 5
San Luis Obispo, CA 93405-1629

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X86119710 (CA)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1699499335

Justin Matthew Waller, RDN's National Provider Identifier is 1699499335, issued on Sep 27, 2022. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Sep 27, 2022.