Individual
DIANA MONGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RDN
Contact information
Practice address
6522 BUFFALO AVE, VAN NUYS, CA 91401-1703
(323) 243-6332
Mailing address
6522 BUFFALO AVE, VAN NUYS, CA 91401-1703
(323) 243-6332
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86075352
CA
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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