PHOEBE K WALLER - Dietitian and Nutritionist License in California | # 164012424

PHOEBE K WALLER

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164012424

License Status

ACTIVE

Business

N

First Name

PHOEBE

Middle

K

Last Name

WALLER

Business Name

PHOEBE K WALLER

Original Issue Date

09/10/2025

Effective Date

09/10/2025

Expiration Date

10/31/2027

State

CA

Ever Disciplined

N

LastModifiedDate

09/11/2025