Individual
JO ELEN GIDISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7325 MEDICAL CENTER DR STE 306, WEST HILLS, CA 91307-4116
(213) 385-0675
Mailing address
PO BOX 27206, LOS ANGELES, CA 90027-0206
(213) 385-0675
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
CA
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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