Individual
MAGNOLIA VELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
MNT894684
CA
133V00000X
Registered Dietitian
Primary
MNT894684
CA
133VN1005X
Renal Nutrition Registered Dietitian
MNT894684
CA
133VN1006X
Metabolic Nutrition Registered Dietitian
MNT894684
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MNT894684
REG DIETICIAN PROVIDER NO
CA
Enumeration date
10/17/2006
Last updated
06/21/2023
Update your record
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