NPI 1003033531

Mary-Jeanne der Avedissian, MSRD

Practitioner Registered Dietitian Glendale, CA

Practice location

Address: 626 Myrtle St, Glendale, CA 91203-1612
Phone: (818) 240-4328

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 590756 (CA)

Other Dietitian, Registered providers in California →

Registry record

NPI: 1003033531
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Apr 2007
Record last updated: 18 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.