Individual
IVANA KLARIC-MANDIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., C.D.N.
Contact information
Practice address
1650 SELWYN AVE FL 10, BRONX, NY 10457-7626
(347) 673-3991
Mailing address
3064 43RD ST APT 3L, ASTORIA, NY 11103-2656
(650) 862-9622
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007075-1
NY
Other
Enumeration date
02/20/2012
Last updated
07/01/2014
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