Individual
MISS IVETTE ASTUDILLO JAVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
5101 39TH AVE APT A21, SUNNYSIDE, NY 11104-1105
(347) 832-8569
Mailing address
5101 39TH AVE APT A21, SUNNYSIDE, NY 11104-1105
(347) 832-8569
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
011283
NY
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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