Individual
DIANNA MARINO REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
924 3RD ST APT 104, SANTA MONICA, CA 90403-2544
(201) 787-0102
Mailing address
924 3RD ST APT 104, SANTA MONICA, CA 90403-2544
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1062254
CA
Other
Enumeration date
10/02/2019
Last updated
01/08/2024
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