Individual
ELISE NORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
2185 CHATSWORTH BLVD APT 9, SAN DIEGO, CA 92107-2456
(858) 212-1929
Mailing address
2185 CHATSWORTH BLVD APT 9, SAN DIEGO, CA 92107-2456
(858) 212-1929
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86296376
CA
Other
Enumeration date
08/14/2023
Last updated
08/15/2023
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