Elizabeth B Revilla, MS, RD, LD, CSP Valid NPI

Individual provider · Pediatric Nutrition Registered Dietitian · Atlanta, GA

NPI

1265631436

Type

Individual (Type 1)

Primary specialty

Pediatric Nutrition Registered Dietitian (Dietitian, Registered)

Specialty group

Dietary & Nutritional Service Providers

Taxonomy code

133VN1004X

License number

LD002723 (GA)

Sex

Female

Sole proprietor

No

Enumerated

2007-07-17

Last updated

2007-07-17