Farah Mardini, RD
Dietitian, Registered in Palo Alto, CA. Individual provider (NPI-1).
NPI number1003551243
StatusActive
Last updated in NPPESSep 14, 2022
Details
- NPI
- 1003551243
- Entity type
- Individual (NPI-1)
- Name
- Farah Mardini
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 2, 2022
- Certification date
- Sep 14, 2022
- Last updated
- Sep 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86254471 | CA | Yes |
| 133V00000X | Dietitian, Registered | – | – | |
| 133VN1004X | Dietitian, Registered, Nutrition, Pediatric | – | – |
Practice location
725 Welch RdPalo Alto, CA 94304-1601
Phone 650-497-7415
Mailing address
725 Welch RdPalo Alto, CA 94304-1601
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