Individual
KIA FELICIA BITANGCOL OCTAVIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
8730 LA COLONIA AVE, FOUNTAIN VALLEY, CA 92708-3302
(562) 253-8398
Mailing address
8730 LA COLONIA AVE, FOUNTAIN VALLEY, CA 92708-3302
(562) 253-8398
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
86087713
CA
133V00000X
Registered Dietitian
Primary
86087713
CA
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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