Individual
MRS. ELIZABETH ANN PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
765 W. COLLEGE ST., FOOD & NUTRITION SERVICES DEPT., LOS ANGELES, CA 90012-5923
(213) 580-7298
(213) 580-7386
Mailing address
765 W. COLLEGE ST., FOOD & NUTRITION SERVICES DEPT., LOS ANGELES, CA 90012-5923
(213) 580-7298
(213) 580-7386
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
R421467
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R421467
REGISTERED DIETITIAN
CA
Enumeration date
05/03/2007
Last updated
07/08/2007
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