Nicole Antoinette Dodge, RD
Dietitian, Registered in San Diego, CA. Individual provider (NPI-1).
NPI number1629951900
StatusActive
Last updated in NPPESJul 26, 2025
Details
- NPI
- 1629951900
- Entity type
- Individual (NPI-1)
- Name
- Nicole Antoinette Dodge
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2025
- Certification date
- Jul 26, 2025
- Last updated
- Jul 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86415811 | CA | Yes |
Other names
- Nicole Antoinette Pilon (Former Name)
Practice location
3020 Childrens WaySan Diego, CA 92123-4223
Phone 858-576-1700
Mailing address
17497 Ashburton RdSan Diego, CA 92128-3945
Phone 760-644-4908
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