Individual
MR. MATTHEW A MALOUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
6349 SAN DIEGO AVE, RIVERSIDE, CA 92506-3136
(909) 658-9371
Mailing address
6349 SAN DIEGO AVE, RIVERSIDE, CA 92506-3136
(909) 658-9371
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1096255
CA
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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