Individual
DELILAH BABIRYE BISASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1333 BARRY AVE APT 4, LOS ANGELES, CA 90025-3949
(310) 893-3946
Mailing address
1333 BARRY AVE APT 4, LOS ANGELES, CA 90025-3949
(310) 893-3946
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86063619
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86063619
COMMISSION ON DIETETIC REGISTRATION (CDR)
CA
Enumeration date
06/19/2019
Last updated
12/08/2022
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