Individual provider · Type 1 NPI

Alfreda Sulistiowati

Nutrition Education Nutritionist · Loma Linda, CA

NPI number 1699036053 Active

Practice location

24850 Prospect Ave Apt D
Loma Linda, CA 92354-2843

Specialties and licenses

TaxonomyCodeLicense
Nutrition Education Nutritionist Primary 133NN1002X1099864 (CA)

Nutrition Education Nutritionist: Definition to come...

About NPI 1699036053

Alfreda Sulistiowati's National Provider Identifier is 1699036053, issued on Jun 1, 2012. The primary taxonomy on file is Nutrition Education Nutritionist (133NN1002X), and the practice location is in Loma Linda, CA. The record was last updated on Jun 1, 2012.