NPI 1780346528

Danielle Ballesta

Practitioner Registered Dietetic Technician San Diego, CA

Practice location

Address: 3350 La Jolla Village Dr, San Diego, CA 92161-0002
Phone: (858) 642-3752
Mailing address: 2477 Steamboat Springs CT, Chula Vista, CA 91915-2248

Registered specialties

Registered Dietetic Technician Primary

Dietary & Nutritional Service Providers Taxonomy 136A00000X Licence 86070857 (CA)

Other Dietetic Technician, Registered providers in California →

Registry record

NPI: 1780346528
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Oct 2021
Record last updated: 8 Oct 2021

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.