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Individual

DR. DENA R HERMAN MENDES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, MPH, RD

Contact information

Practice address
UCLA, LOS ANGELES, CA 90095-0001
(310) 968-1242
Mailing address
325 VIA DE LA PAZ, PACIFIC PALISADES, CA 90272-4631
(310) 968-1242

Taxonomy

Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
859684
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
859684
RD LICENSE - ACADEMY OF NUTRITION AND DIETETICS
CA
Enumeration date
10/10/2017
Last updated
10/10/2017
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