Individual
CARMEN LARA-ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 218-2108
Mailing address
13069 EASTEND AVE, CHINO, CA 91710-3060
(909) 212-2647
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86172216
CA
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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