Individual
JELENA ETEMOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2517 S ALMA ST APT 1, SAN PEDRO, CA 90731-5738
(562) 528-9211
Mailing address
2517 S ALMA ST APT 1, SAN PEDRO, CA 90731-5738
(562) 528-9211
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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