Individual
MS. LETICIA SANTOS AJODAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
003396-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003396-1
CERTIFIED DIETITIAN-NUTRITIONIST LICENSE NUMBER
NY
01
—
371029
REGISTERED DIETITAN NUMBER
NY
Enumeration date
09/06/2011
Last updated
09/06/2011
Update your record
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