Individual
MARY POLICASTRO DINSDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6041 CADILLAC AVE, LOS ANGELES, CA 90034-1702
(323) 857-3253
Mailing address
6041 CADILLAC AVE, LOS ANGELES, CA 90034-1702
(323) 857-3253
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
852096
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
03/10/2021
Last updated
03/10/2021
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