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Individual

MS. LETICIA SANTOS AJODAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
20720 48TH AVE, FIRST FLOOR, OAKLAND GARDENS, NY 11364-1105
(718) 279-3423
(718) 279-3423
Mailing address
20720 48TH AVE, FIRST FLOOR, OAKLAND GARDENS, NY 11364-1105
(718) 279-3423
(718) 279-3423

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
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