Individual
ANGELA CUSIMANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4615 NW 86TH PL, KANSAS CITY, MO 64154-1178
(816) 916-4430
Mailing address
4615 NW 86TH PL, KANSAS CITY, MO 64154-1178
(816) 916-4430
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86049455
MO
133VN1005X
Renal Nutrition Registered Dietitian
86049455
MO
Other
Enumeration date
08/24/2024
Last updated
08/24/2024
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