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Individual

ELECIA FAAIUASO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDN, LD, MPH

Contact information

Practice address
1894 WALTON AVE, BRONX, NY 10453-6018
(718) 583-3060
Mailing address
94-1146 KALOLI LOOP, WAIPAHU, HI 96797-5412
(808) 799-8159

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
012744
NY
133V00000X
Registered Dietitian
Primary
86314096
NY
133V00000X
Registered Dietitian
Primary
86314096

Other

Enumeration date
03/26/2025
Last updated
04/20/2026
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