Individual
MRS. DIANE WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D., C.D.E.
Contact information
Practice address
28720 CANWOOD STREET, SUITE 204, AGOURA HILLS, CA 91301
(818) 339-5542
Mailing address
31839 SEA LEVEL DRIVE, MALIBU, CA 90265
(818) 339-5542
(310) 457-5835
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
R406876
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BL74
PTAN
—
Enumeration date
12/24/2007
Last updated
11/10/2016
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