Individual
ELENA METCHIKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-5539
Mailing address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-5539
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01008668
CA
Other
Enumeration date
08/24/2011
Last updated
04/23/2014
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