Individual
LUCIA EUGENIA BRICENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CNSC
Contact information
Practice address
4650 W SUNSET BLVD # 8, LOS ANGELES, CA 90027-6062
(323) 367-7842
(323) 361-1109
Mailing address
3528 SAWTELLE BLVD APT 7, LOS ANGELES, CA 90066-2931
(310) 890-1230
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
86011308
CA
Other
Enumeration date
06/23/2017
Last updated
06/16/2018
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