Dana Ilvedson, RD

NPI #1477106268 in Pacifica, California

Provider Information

NPI Number: 1477106268
Entity Type: Individual
Name: Dana Ilvedson, RD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RD
Enumeration Date: Jul 20, 2019
Last Updated: Jul 20, 2019

Practice Location

Address: 990 MIRADOR TER
City: Pacifica
State: California
ZIP Code: 94044-2427
Phone: (650) 355-1933

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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