Provider Demographics
NPI:1275279341
Name:SANNINO, LILIYA (AFMHC)
Entity Type:Individual
Prefix:
First Name:LILIYA
Middle Name:
Last Name:SANNINO
Suffix:
Gender:F
Credentials:AFMHC
Other - Prefix:
Other - First Name:LILI
Other - Middle Name:
Other - Last Name:KERCHEVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AFMHC
Mailing Address - Street 1:117 N CLEVELAND ST APT S429
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-2621
Mailing Address - Country:US
Mailing Address - Phone:303-810-7134
Mailing Address - Fax:
Practice Address - Street 1:117 N CLEVELAND ST APT S429
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-2621
Practice Address - Country:US
Practice Address - Phone:303-810-7134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-10
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education