Individual
DHVANI DIPAK BHATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1500 E.DUARTE ROAD, DUARTE, CA 91010
(626) 256-4673
Mailing address
21967 WHITE OAK RD, WALNUT, CA 91789-0924
(909) 598-6395
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
718177
CA
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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