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Individual

KRISTINA C DIDIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
REGISTERED DIETITIAN

Contact information

Practice address
1900 E SLAUSON AVE, HUNTINGTON PARK, CA 90255-2725
(323) 277-7678
Mailing address
3651 JASMINE AVE APT 210, LOS ANGELES, CA 90034-5398
(315) 350-7524

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86118906
NY

Other

Enumeration date
11/27/2019
Last updated
11/27/2019
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