Individual
ANA ELENA DURAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
808 W 58TH ST, LOS ANGELES, CA 90037-3632
(323) 247-6344
Mailing address
3759 E 55TH ST, MAYWOOD, CA 90270-2133
(323) 247-6344
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86059797
CA
133V00000X
Registered Dietitian
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86059797
REGISTERED DIETITIAN NUTRITIONIST
—
Enumeration date
09/03/2020
Last updated
12/08/2020
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