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Souad Aboufadel, MS, RDN

Dietitian, Registered in San Diego, CA. Individual provider (NPI-1).

NPI number1972145274
StatusActive
Last updated in NPPESOct 9, 2019

Details

NPI
1972145274
Entity type
Individual (NPI-1)
Name
Souad Aboufadel
Credential
MS, RDN
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 8, 2019
Last updated
Oct 9, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered86108200CAYes
133V00000X Dietitian, Registered––

Practice location

12312 Escala Dr
San Diego, CA 92128-1209

Phone 858-335-4644

Mailing address

12312 Escala Dr
San Diego, CA 92128-1209

Phone 858-335-4644

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