Individual
VITA ANGELOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
224 HAILI ST, BLD B, HILO, HI 96720-2975
(808) 961-4080
Mailing address
224 HAILI ST, BLD B, HILO, HI 96720-2975
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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