Doctor Name: | ELISE HARLOW |
NPI Number: | 1962877522 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., R.D. |
License Number: | 86034751 |
Business Practice Address: | 26461 Crown Valley Pkwy Ste 100 Mission Viejo, CA - 926916377 |
Business Phone Number: | 5126562813 |
Business Fax Number: | |
Mailing Address: | 18332 Patterson Ln Apt 2, HUNTINGTON BEACH |
State: | CA |
Postal Code: | 926461682 |
Phone Number: | 5126562813 |
Fax Number: | |
NPI Enumeration Date: | 12/08/2015 |
NPI Last Update Date: | 12/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 86034751 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |