Individual
IRMA MADRIGAL CAMPOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2411 N BROADWAY, LOS ANGELES, CA 90031-2218
(323) 987-2020
Mailing address
5761 SANTA MONICA BLVD APT 6, LOS ANGELES, CA 90038-3216
(323) 443-4063
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/20/2019
Last updated
01/20/2019
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