Organization
DD HIZZLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY DAWN MALSACK RDN (CEO)
(949) 371-6947
Entity
Organization
Contact information
Practice address
25 PALATINE APT 451, IRVINE, CA 92612-7627
(310) 993-1197
Mailing address
25 PALATINE APT 451, IRVINE, CA 92612-7627
(310) 993-1197
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
—
—
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
—
—
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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