Individual
MRS. KIM M VIVES-LAWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS. RD. CDN
Contact information
Practice address
100 CASALS PL, 4G, BRONX, NY 10475-3002
(718) 379-0436
Mailing address
100 CASALS PL, 4G, BRONX, NY 10475-3002
(718) 379-0436
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00720405
NY
Other
Enumeration date
08/11/2012
Last updated
08/11/2012
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