LISA ANN LICAVOLI

NEWPORT BEACH, CA
NPI1063915080
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: CA  R-553289)
Additional Taxonomies133N00000X Nutritionist
Enumeration Date2018-03-15
Last Update Date2018-03-15
Business Address
Ms. LISA ANN LICAVOLI R.D.
2289 REDLANDS DR
NEWPORT BEACH, CA 92660
Phone number: 949-646-4842
Mailing Address
Ms. LISA ANN LICAVOLI R.D.
2289 REDLANDS DR
NEWPORT BEACH, CA 92660
Phone number: 949-646-4842
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