Individual
ELISHA DAIGNEAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1930 GEORGIA CT APT 7, SAN DIEGO, CA 92104-6209
(619) 992-5092
Mailing address
1930 GEORGIA CT APT 7, SAN DIEGO, CA 92104-6209
(619) 992-5092
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01050032
CA
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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