Individual
KIMBERLY PARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, RDN
Contact information
Practice address
2510 30TH RD APT 3O, ASTORIA, NY 11102-2652
(772) 607-1556
Mailing address
2510 30TH RD APT 3O, ASTORIA, NY 11102-2652
(772) 607-1556
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86012041
THE ACADEMY OF NUTRITION AND DIETETICS
—
Enumeration date
07/21/2020
Last updated
07/21/2020
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