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NICOLLE LAURENE BADA RD

>> Dietitian, Registered >> Dietary & Nutritional Service Providers

Registrant NPI Number: 1932482718

Individual Registrant:
 NICOLLE LAURENE BADA RD
Gender: F
Sole Proprietor

Location and contact information for practice:
1923 VELEZ DR  RANCHO PALOS VERDES, CA 90275-1423 US
Tel: 310-480-2525  Fax: --

Contact information for business:
1923 VELEZ DR  RANCHO PALOS VERDES, CA 90275-1423 US
Tel: 310-480-2525  Fax: --

Registration Information:
NPI: 1932482718
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
CA1000753

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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