Individual
ELANA SHARON RACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
435 N. ROXURY DRIVE, STE 100, BEVERLY HILLS, CA 90211-5003
(310) 855-8058
Mailing address
1487 REEVES ST, NO. 3, LOS ANGELES, CA 90035-2941
(917) 892-1293
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
851000
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
851000
LICENSE NUMBER
CA
Enumeration date
10/15/2009
Last updated
10/15/2009
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