Individual
ANTONELLA ODALI CHISPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18217 BRIGHTSTAR PL, SANTA CLARITA, CA 91350-5793
(323) 336-4942
Mailing address
5655 ELMER AVE, NORTH HOLLYWOOD, CA 91601-1842
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
86298928
CA
Other
Enumeration date
11/07/2022
Last updated
08/12/2024
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