Individual
MISS DINA BEN-NISSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
18372 CLARK ST STE 228, TARZANA, CA 91356-3555
(818) 384-2886
Mailing address
18372 CLARK ST STE 228, TARZANA, CA 91356-3555
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
10182272
OR
133V00000X
Registered Dietitian
Primary
86063099
CA
Other
Enumeration date
03/16/2017
Last updated
09/08/2017
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