Individual
EVELYN TRIBOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
1100 QUAIL ST, SUITE 111, NEWPORT BEACH, CA 92660-2701
(949) 654-9904
Mailing address
1100 QUAIL ST, SUITE 111, NEWPORT BEACH, CA 92660-2701
(949) 654-9904
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
681168
REGISTERED DIETITIAN - AM DIETETIC ASSOC
CA
Enumeration date
08/22/2007
Last updated
08/12/2009
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