Individual
LETICIA P COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
694 JOANN ST APT B, COSTA MESA, CA 92627-7906
(702) 219-0777
Mailing address
694 JOANN ST APT B, COSTA MESA, CA 92627-7906
(702) 219-0777
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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