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NPI Code Detail

MEDICARE: MRS. DIGNA I CASSENS MHA, RD

MEDICARE:  MRS. DIGNA I CASSENS  MHA, RD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian127357CA

General Provider Information

NPI Number : 1689972275
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DIGNA I CASSENS MHA, RD
Provider Business Mailing Address
First Line : 2669 ARDSHEAL DR
Second Line :
City : LA HABRA HEIGHTS
State : CA
Zip : 90631-7711
Country : US
Telephone Number : 562-694-1327
Fax Number : 562-694-8664
Provider Business Practice Location Address
First Line : 2669 ARDSHEAL DR
Second Line :
City : LA HABRA HEIGHTS
State : CA
Zip : 90631-7711
Country : US
Telephone Number : 562-694-1327
Fax Number : 562-694-8664
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2011
Last Update Date : 03/05/2011

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