Nicole Desiree Al-Shafie
Dietitian, Registered in Glendale, CA. Individual provider (NPI-1).
NPI number1780102053
StatusActive
Last updated in NPPESMar 17, 2018
Details
- NPI
- 1780102053
- Entity type
- Individual (NPI-1)
- Name
- Nicole Desiree Al-Shafie
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 6, 2017
- Last updated
- Mar 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1013062 | CA | Yes |
Practice location
620 N Brand Blvd Ste 401Glendale, CA 91203-1210
Phone 424-345-2123
Mailing address
3215 Overland Ave Apt 8167Los Angeles, CA 90034-4546
Phone 424-345-2123
Other practice locations
11949 Jefferson Blvd Ste 106
Culver City, CA 90230-6336
Culver City, CA 90230-6336
Phone 424-345-2123
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All 44 Registered Dietitian providers in Glendale · All 8,236 providers in Glendale
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