Individual
ELISA ITKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
4981 KENLAR DR, SAN JOSE, CA 95124-5106
(408) 493-3321
Mailing address
4981 KENLAR DR, SAN JOSE, CA 95124-5106
(408) 493-3321
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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