Provider Demographics
NPI:1982349544
Name:LOSSING, JOSELINE GONZALEZ (BS, RDN, CLC)
Entity Type:Individual
Prefix:
First Name:JOSELINE
Middle Name:GONZALEZ
Last Name:LOSSING
Suffix:
Gender:F
Credentials:BS, RDN, CLC
Other - Prefix:
Other - First Name:JOSELINE
Other - Middle Name:NATALY
Other - Last Name:GONZALEZ-RIVAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS, RDN
Mailing Address - Street 1:CMR 473 BOX 2522
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09606-0026
Mailing Address - Country:US
Mailing Address - Phone:615-474-4687
Mailing Address - Fax:
Practice Address - Street 1:US ARMY MEDDAC BAVARIA
Practice Address - Street 2:UNIT 28037
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09112-8037
Practice Address - Country:US
Practice Address - Phone:314-590-3904
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-28
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
336934174N00000X
86113641133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No174N00000XOther Service ProvidersLactation Consultant, Non-RN