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Organization
INLAND VALLEY DISEASE MANAGEMENT CLINIC
Active
Organization
INLAND VALLEY DISEASE MANAGEMENT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADRIENNE M WALKER (CONTRACTS MANAGER)
(909) 398-1550
Entity
Organization
Contact information
Practice address
1904 N ORANGE GROVE AVE, POMONA, CA 91767-3008
(909) 469-1823
(909) 469-1827
Mailing address
840 TOWNE CENTER DR, POMONA, CA 91767-5900
(909) 398-1550
(909) 398-1573
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
718614
CA
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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