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Individual
KATAYOUN MOINI
Active
Individual
KATAYOUN MOINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
813546
CA
133V00000X
Registered Dietitian
813546
CA
363A00000X
Physician Assistant
Primary
PA51495
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA51495
CA LICENSE
CA
Enumeration date
07/07/2005
Last updated
04/21/2022
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