Individual
MRS. NICOLE FERGUSON MAHARAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDE
Contact information
Practice address
12518 ROSE AVE, LOS ANGELES, CA 90066-1518
(310) 795-9391
(310) 306-4847
Mailing address
12518 ROSE AVE, LOS ANGELES, CA 90066-1518
(310) 795-9391
(310) 306-4847
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
03/03/2011
Last updated
03/27/2012
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