Individual
MARTIN WILLIAM MANAS BOMBASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
583 N UKIAH WAY, UPLAND, CA 91786-4640
(909) 297-9282
Mailing address
583 N UKIAH WAY, UPLAND, CA 91786-4640
(909) 297-9282
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86174335
CA
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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