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Individual

DANIELLE ROSE GAFFEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RDN, LD

Contact information

Practice address
4116 MORNING STAR CT, LA MESA, CA 91941-7228
(619) 985-5656
Mailing address
4116 MORNING STAR CT, LA MESA, CA 91941-7228
(619) 985-5656

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86093953

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
86093953
COMMISSION ON DIETETIC REGISTRATION
Enumeration date
05/10/2021
Last updated
05/10/2021
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