IndividualActive
Coleen Liscano, MS, RD, CNSD. CLE
NPI 1972831139 · Pediatric Nutrition Registered Dietitian · Covina, CA
Provider details
- NPI number
- 1972831139
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RD, CNSD. CLE
- Sex
- Female
- Sole proprietor
- Yes
- License
- 877908 (CA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
2159 E Badillo St
Covina, CA 91724-2340
Phone: (714) 931-7157
Approximate (ZIP-level) locationGet directions
Mailing address
2159 E Badillo St
Covina, CA 91724-2340
Registry dates
- Enumerated
- 2009-11-30
- Last updated
- 2009-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.