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Individual

DIANE BASURTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
19722 MACARTHUR BLVD, IRVINE, CA 92612-2404
(949) 824-9002
Mailing address
19722 MACARTHUR BLVD, IRVINE, CA 92612-2404
(949) 824-9002

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
893310
CA

Other

Enumeration date
04/23/2019
Last updated
04/23/2019
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