Individual
ELIZABETH MISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 340-2911
Mailing address
1117 JASPER CT, SAN MARCOS, CA 92078-1160
(619) 210-9892
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86097486
FL
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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