Individual
LEYLA K DAVIJANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26572 ROYALE DR, SAN JUAN CAPISTRANO, CA 92675-1412
(949) 606-3573
Mailing address
26572 ROYALE DR, SAN JUAN CAPISTRANO, CA 92675-1412
(949) 606-3573
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
932113
CA
133V00000X
Registered Dietitian
Primary
932113
CA
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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