Individual
MRS. THALIA VITHOULKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,RD,CDN
Contact information
Practice address
3715 KIRK RD, ENDWELL, NY 13760-2520
(917) 414-8898
Mailing address
425 CALIFORNIA ST STE 1400, SAN FRANCISCO, CA 94104-2116
(212) 589-2700
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005607-01
NY
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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