Individual
IKSSA A GIOVANNINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
6090 W RAMSEY ST, BANNING, CA 92220-3052
(951) 845-4494
(951) 845-4845
Mailing address
6090 W RAMSEY ST, BANNING, CA 92220-3052
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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