Individual
EVANGELINA SOTELO-BOLANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16200 VENTURA BLVD, ENCINO, CA 91436-2205
(818) 441-4151
Mailing address
16200 VENTURA BLVD, ENCINO, CA 91436-2205
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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