Individual
CLARISSA JANE DILAVERIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1160 W BROAD ST, COLUMBUS, OH 43222-1352
(614) 274-1455
(614) 274-1433
Mailing address
2990 BISSONNET ST APT 11102, HOUSTON, TX 77005-4074
(614) 907-3022
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DT85859
TX
133V00000X
Registered Dietitian
Primary
LD.7440
OH
Other
Enumeration date
03/09/2020
Last updated
11/01/2023
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