Individual
ALMA SHADY ENTESARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
14871 WAVERLY LN, IRVINE, CA 92604-2325
(949) 838-5156
Mailing address
14871 WAVERLY LN, IRVINE, CA 92604-2325
(949) 838-5156
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
CA
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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