Individual
ARLENE PROVISOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, CSO, CNSC
Contact information
Practice address
8700 BEVERLY BLVD, LOS ANGELES, CA 90048
(310) 423-5644
Mailing address
8700 BEVERLY BLVD, SUITE AC1175, LOS ANGELES, CA 90048
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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