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Individual

BAHAR BROCKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8540 COSTA VERDE BLVD APT 4407, SAN DIEGO, CA 92122-1173
(858) 281-8479
Mailing address
8540 COSTA VERDE BLVD APT 4407, SAN DIEGO, CA 92122-1173

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86145178
CA

Other

Enumeration date
09/18/2023
Last updated
09/22/2023
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