Individual
MS. BARBARA SUSAN RAVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3780 KILROY AIRPORT WAY STE 110, LONG BEACH, CA 90806-2458
(562) 897-1460
Mailing address
4603 MONOGRAM AVE, LAKEWOOD, CA 90713-2740
(562) 421-4647
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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