JOSEPHINE HADIWIDJOJO

PORTER RANCH, CA
NPI1164920476
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: CA  832433)
Enumeration Date2018-02-01
Last Update Date2018-02-01
Business Address
JOSEPHINE HADIWIDJOJO MS, RD, CDN
19936 MARIPOSA CREEK WAY
PORTER RANCH, CA 91326-4128
Phone number: 818-585-1163
Mailing Address
JOSEPHINE HADIWIDJOJO MS, RD, CDN
19936 MARIPOSA CREEK WAY
PORTER RANCH, CA 91326-4128
Phone number:
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