Licciardo, Betty

Licciardo, Betty is an individual health care provider with primary practice located at 1904 N Orange Grove Ave , Pomona CA 91767-3008. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Licciardo, Betty can be contacted via phone (909) 469-1823.

Contact Information

Primary practice address
1904 N Orange Grove Ave Pomona CA 91767-3008
Phone: (909) 469-1823
Fax: (909) 469-1827
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 718614

Profile Details

NPI number 1043265622
LBN Legal business name Licciardo, Betty
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Sep 20th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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