Organization
DIETITIAN DAINA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAINA MORITZ RDN (REGISTERED DIETITIAN NUTRITIONIST)
(314) 681-5350
Entity
Organization
Contact information
Practice address
11431 NW 9TH TER, YUKON, OK 73099-5004
(314) 681-5350
Mailing address
11431 NW 9TH TER, YUKON, OK 73099-5004
(314) 681-5350
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376205104
PERSONAL NPI
—
Enumeration date
10/08/2021
Last updated
10/08/2021
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