Individual
JELENA SKOPINCEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
75-5870 WALUA RD STE 100, KAILUA KONA, HI 96740-1392
(347) 489-0006
Mailing address
PO BOX 3158, KAILUA KONA, HI 96745-3158
(347) 489-0006
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
Other
Enumeration date
06/27/2017
Last updated
11/07/2023
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