Individual
BITA HIRSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
87 THICKET, IRVINE, CA 92614-7952
(949) 232-2163
Mailing address
87 THICKET, IRVINE, CA 92614-7952
(949) 232-2163
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1102631
CA
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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