Individual
MARIA FISK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., C.D.E
Contact information
Practice address
501 S BUENA VISTA ST, BURBANK, CA 91505-4809
(818) 953-4494
Mailing address
17421 HORACE ST, GRANADA HILLS, CA 91344-4720
(818) 363-7820
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
387879
CA
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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