Betty Licciardo, RD

NPI #1043265622 in Pomona, California

Provider Information

NPI Number: 1043265622
Entity Type: Individual
Name: Betty Licciardo, RD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RD
Enumeration Date: May 23, 2006
Last Updated: Sep 20, 2021

Practice Location

Address: 1904 N ORANGE GROVE AVE
City: Pomona
State: California
ZIP Code: 91767-3008
Phone: (909) 469-1823

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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