Individual
LISA VESIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 837-8041
Mailing address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 837-8041
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
991582
CA
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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