Individual
KIM SUZANNE SHAPIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5315 LOUISE AVE, ENCINO, CA 91316-2538
(818) 371-5170
Mailing address
5315 LOUISE AVE, ENCINO, CA 91316-2538
(818) 371-5170
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
874147
CA
Other
Enumeration date
11/01/2025
Last updated
11/01/2025
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