Individual
IAN BLAZER LLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1850 SPRING RIDGE DR, SUSANVILLE, CA 96130-6100
(530) 257-7094
Mailing address
1850 SPRING RIDGE DR, SUSANVILLE, CA 96130-6100
(530) 257-7094
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1078568
—
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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