Individual
MISS DIMA BADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
858 W JACKMAN ST STE 101, LANCASTER, CA 93534-2488
(661) 948-1228
Mailing address
28403 FALCON CREST DR, CANYON COUNTRY, CA 91351-5019
(661) 476-4243
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
86015095
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86015095
COMMISSION ON DIETETIC REGISTRATION (CDR)
CA
Enumeration date
01/08/2018
Last updated
06/16/2018
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