Individual
MRS. LISSA GAYE MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6551 ELMO ST, TUJUNGA, CA 91042-2528
(818) 219-1082
Mailing address
6551 ELMO ST, TUJUNGA, CA 91042-2528
(818) 219-1082
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
719965
CA
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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