Individual
BROOKE K ASCHIDAMINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, CISSN
Contact information
Practice address
624 W 9TH ST, 103, SAN PEDRO, CA 90731-3158
(310) 938-4575
Mailing address
624 W 9TH ST, 103, SAN PEDRO, CA 90731-3158
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1093633
CA
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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